Department of Internal Medicine and Specialties, University of Ngaoundere, Cameroon
Research
Non-Invasive Predictors of Large Esophageal Varices in Patients with Cirrhosis in Cameroon
Author(s): Nsenga Djapa Guy Roger*, Kowo Pierre Mathurin, Mohamadou Galdima, Ndjitoyap Ndam Antonin Wilson, Talla Paul, Ankouane Andoulo Firmin and Njoya Oudou
Background: Esophageal varices (EVs) are a consequence of portal hypertension in patients with chronic liver
diseases. Current guidelines recommend that all patients with cirrhosis should undergo screening endoscopy at
diagnosis to identify varices at high risk of bleeding which will benefit from primary prophylaxis. This study was
conducted to evaluate known noninvasive predictors of large esophageal varices in Cameroon.
Patients and methods: Patients with liver cirrhosis seen from November 2013 to October 2014, meeting our
selection criteria were consecutively enrolled. Demographic data (age and sex), relevant clinical (ascites, encephalopathy),
biological (platelet count, bilirubinemia, albuminemia and prothrombin level), ultrasonographic (spleen
diameter, portal vein diameter, right liver span and ascites) and endoscopic .. View More»