DOI: 10.36347/sjams.2020.v08i10.017

Pages: 2297-2308

Background: Liver disease particularly chronic liver disease is one of the major public health problem, accounting for significant morbidity and mortality worldwide. Among the different complications, gastro-esophageal variceal bleeding is the deadliest complications of advanced liver disease and have been described in 50% of patients with liver cirrhosis. Moreover, the presence of gastroesophageal varices (GEV) has important implications for the prognosis and the severity of the disease. An estimate suggest that mortality due to variceal bleeding is around 20%. Objective: The objective of this study was to determine the role of non-invasive methods to predict the presence of gastroesophageal varices among patients with chronic liver disease. Methods: It was a hospital based cross-sectional study and conducted at the Department of Gastroenterology and department of Medicine in Dhaka Medical College Hospital, for six month period. Written informed consent was taken from the subject and ethical issues was ensured. Total 146 CLD individual was selected according to inclusion and exclusion criteria. Each patient was interviewed individually by the principal investigator. All these was registered, documented and analyzed in the statistical program Statistical Package for Social Science (SPSS) version 22.0. The data was systematically described and summarized and presented through descriptive statistics. In all cases significance level will be set at p<.05. Findings were expressed by graph and chart whichever is relevant. Thus the study was assessed the usefulness of non-invasive methods to predict the presence of Gastro-esophageal varices among the patients who present with chronic liver disease. Results: The mean age of the CLD patients was 44.62±13.87 years, minimum age 20 and maximum 78 years. Majority of the patients were male 78.8% and female 21.2%. Male: Female ratio was 3.7:1. In present study clinical presentation of CLD patients were showed 82.2% patients.......