Gupta T. Non-invasive assessment of esophageal varices: Status of today. World J Hepatol 2024; 16(2): 123-125 [PMID: 38495268 DOI: 10.4254/wjh.v16.i2.123]
Corresponding Author of This Article
Tarana Gupta, Doctor, MBBS, MD, Doctor, Professor, Researcher, Department of Medicine, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, House no 1065A Sector 1, Rohtak 124001, Haryana, India. taranagupta@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Hepatol. Feb 27, 2024; 16(2): 123-125 Published online Feb 27, 2024. doi: 10.4254/wjh.v16.i2.123
Non-invasive assessment of esophageal varices: Status of today
Tarana Gupta
Tarana Gupta, Department of Medicine, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak 124001, Haryana, India
Author contributions: Gupta T did collection of data, review of literature, wrote the manuscript, critically analysed and did final drafting.
Conflict-of-interest statement: Tarana Gupta have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tarana Gupta, Doctor, MBBS, MD, Doctor, Professor, Researcher, Department of Medicine, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, House no 1065A Sector 1, Rohtak 124001, Haryana, India. taranagupta@gmail.com
Received: November 27, 2023 Peer-review started: November 27, 2023 First decision: December 25, 2023 Revised: December 29, 2023 Accepted: January 17, 2024 Article in press: January 17, 2024 Published online: February 27, 2024 Processing time: 92 Days and 4.3 Hours
Abstract
With increasing burden of compensated cirrhosis, we desperately need non-invasive methods for assessment of clinically significant portal hypertension. The use of liver and spleen stiffness measurement helps in deferring unnecessary endoscopies for low risk esophageal varices. This would reduce cost and patient discomfort. However, these special techniques may not be feasible at remote areas where still we need only biochemical parameters. More prospective studies validating the non-invasive risk prediction models are definitely needed.
Core Tip: The liver stiffness measurement is time tested tool for assessing liver fibrosis. The new application of spleen stiffness has again supplemented for assessment of portal hypertension and has alleviated the need for unnecessary endoscopies. The novel spleen dedicated stiffness measurement @100 Hz has further improved the screening of high-risk esophageal varices.
