Predictive Value of Mean Platelet Volume in Variceal Bleeding due to Cirrhotic Portal Hypertension
| Autor: | Burçak Kayhan, Yahya Atayan, Ahmet Danalioglu, Mehmet A Erdogan, Serap B Acmali, Ali Ramazan Benli, Mustafa Koroglu |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Cirrhosis Mean platelet volume Physical examination 030204 cardiovascular system & hematology Hematocrit Gastroenterology 03 medical and health sciences 0302 clinical medicine Internal medicine Ascites Medicine Portal hypertension Prospective cohort study medicine.diagnostic_test business.industry medicine.disease Variceal bleeding Original Article 030211 gastroenterology & hepatology medicine.symptom business Varices |
| Zdroj: | Euroasian Journal of Hepato-Gastroenterology |
| Popis: | Aim To investigate whether mean platelet volume (MPV) is a predictor of variceal bleeding in patients with cirrhotic portal hypertension. Materials and methods This prospective cohort was performed in the internal medicine department of our tertiary care center. Cirrhotic patients were allocated into two groups: Group I consisted of 31 cases without a history of variceal bleeding, whereas group II was made up of 31 patients with a history of variceal bleeding. Data derived from medical history, physical examination, ultrasonography, gastrointestinal system endoscopy, complete blood count, hepatic, and renal function tests were recorded and compared between two groups. On physical examination, encephalopathy and ascites were evaluated and graded with respect to Child–Pugh–Turcotte classification. Results There was no significant difference between the two groups in terms of age, duration of the disease, and gender of the patient. The only remarkable difference was that hemoglobin (p = 0.02) and hematocrit (p = 0.02) values were lower in group II. Neither the etiology of bleeding was different between groups nor did MPV seem to have a noteworthy impact on bleeding. Interestingly, risk of variceal bleeding increased in parallel to the higher grade of varices. Conclusion Our results imply that there is a correlation between the grade of varices and esophageal variceal bleeding in cirrhotic patients. However, association between MPV and variceal bleeding could not be demonstrated. Utilization of noninvasive tests as predictors in these patients necessitates further controlled trials on larger series. How to cite this article Erdogan MA, Benli AR, Acmali SB, Koroglu M, Atayan Y, Danalioglu A, Kayhan B. Predictive Value of Mean Platelet Volume in Variceal Bleeding due to Cirrhotic Portal Hypertension. Euroasian J Hepato-Gastroenterol 2017;7(1):6-10. |
| Databáze: | OpenAIRE |
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