الفهرس 
Aim of this workOnly 14 pages are availabe for public view
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Abstract
Several studies have examined how to identify patients with varices using non-invasive or minimally invasive methods to avoid endoscopy in patients with a low risk of varices. The aim of our study was to evaluate the possibility of using of portal congestion index as noninvasive predictor of esophageal varices in HCV patients.
This study included two hundred HCV patients. Patients were selected from 700 patients attending the outpatient and\or inpatient department of Tropical Medicine, Menoufia Uuniversity Hospitals in the period between January 2017 to March 2018, 500 patients excluded due to presence of exclusion criteria.
Patients were grouped according to endoscopy finding into two group:
group 1: Patients with no eosophageal varices.
group 2: Patients with eosophageal varices.
Patients was classified according to Child–Pugh score using 5 parameters (ascites, albumin, bilirubin, prolonged prothrombin time in seconds and encephalopathy) into child A, child B and child C.
Patients with the following criteria were excluded, patients receiving beta blockers, patients with hepatocellular carcinoma, patients with concomitant hepatic schistosomiasis, patients with primary hematologic disorders, and patients who underwent splenectomy.
All studied subjects underwent a detailed history, clinical examination, laboratory workup, abdominal ultrasound, Doppler on PV and upper gastrointestinal endoscopy. The portal congestion index and the platelet count/spleen diameter ratio for all patients were calculated.