Indice esplenoportal mediante ultrasonido como predictor de várices esofágicas. Hospital José Carrasco Arteaga. Cuenca, 2019 – 2021

Abstract

BACKGROUND: Esophageal variceal bleeding is a common complication of portal hypertension in cirrhotic patients, which is correlated with the presence of esophageal varices. GENERAL OBJECTIVE: To determine the spleno-portal index by ultrasound as a predictor in the development of esophageal varices in patients with cirrhosis. José Carrasco Arteaga Hospital. Cuenca, 2019- 2021. METHODOLOGY: Cross-sectional analytical study in 136 patients consecutively from the Gastroenterology service of the José Carrasco Arteaga Hospital from 2019 to 2021. The clinical data were collected directly from the patient and the results of the endoscopy were taken from the clinical history, in addition to the spleno-portal index by Doppler ultrasound. The outcomes were presented in simple tables of frequency and percentage, for the quantitative variables, statistics of central tendency and dispersion were used through the SPSS statistical program. RESULTS: 136 patients with a mean age of 59 years were evaluated, the most frequent being those under 65 with 63.97%, predominantly males with 58.09%, 66.91% had type A liver disease, in 91.18% of those evaluated a positive spleno-portal index was found, the frequency of esophageal varices was 88.24%, 55.15% being grade I, 95.00% of those with varicose veins esophageal had a positive spleno-portal index, achieving that of the patients with this positive index they were 11 times more likely to have esophageal varices. CONCLUSION: The spleno-portal index is a good predictor of esophageal varices, being useful in patients with cirrhosis.