Are Hepatic Vein Waveform and Damping ‎Index Valuable in Prediction of Esophageal ‎Varices in Cirrhotic Patients?‎ ‎‎

Abstract

with esophageal varices. Group (2): 22 patients without esophageal varices. Results: Twenty five out of 26 patients (96.2%) with esophageal varices and 90% of patients in Child Pugh class C had monophasic waveform. There is no significant relation between severity of ascites and HVW. Among all patients, 30 patients (62.5%) had DI >0.6, without significant predominance to presence of esophageal varices, certain Child Pugh class, degree of ascites or certain HVW. There is significant correlation between damping index and Child Pugh score. Conclusion: Monophasic hepatic vein waveform is a good non-invasive indicator for the presence of esophageal varices and advanced cirrhosis. DI is of no value in predicting esophageal varices, but significantly correlated with Child Pugh score.