الفهرس 
Introduction and Aim of the StudyOnly 14 pages are availabe for public view
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Abstract
This study was undertaken to evaluate the value of Plt.C/ Spl.D ratio as a non-invasive method for early prediction of the presence of EV. This study carried out on 70 Egyptian cirrhotic patients who were suffering from chronic liver diseases due to HCV infection, HBV infection and Bilharziasis. Their age ranged from 27 to 62 years. They wear 45 males and 25 females. The selected patients were divided according to the detection of esophageal varices into two groups: Group I, included 50 patients with splenomegaly and esophageal varices and Group II, included 20 patients with splenomegaly with no esophageal varices. All patients underwent a complete biochemical workup, Doppler ultrasonographic examination, upper GI endoscopy, and Plt.C/Spl.D ratio was calculated for all patients. There was statistical difference between Group I and Group II in these parameters; age, ascites, bleeding tendency, lower limb edema, platelet count, congestive gastropathy, PVD and Spl. D. We found that there was high significant statistical inverse correlation between Plt.C/Spl.D ratio and presence of EV. And the cut off value of this ratio of 555 had 84% negative predictive value for a diagnosis of EV and 70% positive predictive value f