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August 20, 2025Benha Medical JournalOpen Access

Diagnostic Accuracy of Portal Vein Flow Velocity & Hepatic Veins Waveform Morphology in Comparison to Upper GI Endoscopy for Esophageal Varices in Cirrhotic Patients

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Authors

HKHamada KhaterMAMir Rizwan AzizASAlaa Shalaby

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Overview

Cross-sectional analysis demonstrated portal vein flow velocity and hepatic vein waveform predict esophageal varices in cirrhotic patients, indicating potential for non-invasive assessment.

Key Points

  • Portal vein flow velocity and hepatic vein waveform morphology accurately predict esophageal varices in cirrhotic patients, with Doppler ultrasound serving as an effective tool.
  • The best cutoff for detecting varices using portal vein flow velocity was ≤16 cm/sec, achieving a sensitivity of 70.6% and specificity of 87.5%.
  • Cirrhotic patients with esophageal varices exhibited larger portal vein diameters and lower median portal vein flow velocities than those without varices.
  • These findings suggest Doppler ultrasound can help risk stratify patients for variceal bleeding, potentially reducing the need for invasive upper GI endoscopies.

Cite This Study

Khater et al. (2025) studied this question.

synapsesocial.com/papers/68af7c827567bf4f94ff36bfhttps://doi.org/10.21608/bmfj.2025.407300.2576
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ultrasonography Elastography to Predict the Diagnosis, Severity, and Treatment Indication of Esophageal Varices in Patients with Chronic Liver Diseases2025
  2. 2Evaluation of the VITRO Score as a Non-Invasive Marker for Esophageal Varices in Liver Cirrhosis2025
  3. 3The role of helical flow phenomenon in the main portal vein as a biomarker for esophageal varices at high risk of bleeding in patients with cirrhosis2025
  4. 4Risk stratification of esophageal varices in patients with liver cirrhosis using 4D Flow MRI2025
  5. 5COMPARATIVE ACCURACY OF PLATELET COUNT/SPLEEN DIAMETER RATIO WITH CHILDTURCOTTE-PUGH SCORE IN PREDICTING ESOPHAGEAL VARICES AMONG CIRRHOTIC PATIENTS: A CROSS-SECTIONAL STUDY2025