Sunday, February 28, 2021

Association of the Modified ALBI Grade With Endoscopic Findings of Gastroesophageal Varices

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In Vivo. 2021 Mar-Apr;35(2):1163-1168. doi: 10.21873/invivo.12364.

ABSTRACT

BACKGROUND/AIM: This study aimed to assess the association of the modified albumin-bilirubin (mALBI) grade with the endoscopic findings of gastroesophageal varices (GEVs).

PATIENTS AND METHODS: A total of 141 patients with histologically proven cirrhosis who underwent a liver biopsy and esophagogastroduodenoscopy were enrolled. The relationships between the mALBI grade and endoscopic findings were evaluated.

RESULTS: The incidence of GEVs and high-risk GEVs differed among mALBI grades. Patients with mALBI grades of 2b-3 had higher rates of GEVs and high-risk GEVs in comparison to those with mALBI grades of 1-2a (p<0.0001). In addition, patients with mALBI grade 2b or grade 3, but not those with mALBI grade 2a, had significantly higher rates of complicated GEVs and high-risk GEVs in comparison to those with mALBI grade 1.

CONCLUSION: The mAL BI grade may be useful in predicting the presence of GEVs and for stratifying their bleeding risk.

PMID:33622916 | DOI:10.21873/invivo.12364

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