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DEAR EDITOR, This letter regards the very interesting paper published in Annals of Hepatology 2009; 8(4): 325-30 by Barrera, et al. The authors emphasize an important matter, which is the burden of frequently endoscopying cirrhotic patients in order to verifying for the presence of esophageal varices (EV) and indicating the proper prophylaxis to avoid bleeding. They evaluate the platelet count/spleen diameter ratio (PC/SD) in 67 patients as a non-invasive parameter to predict the presence of high risk esophageal varices (HREV), defined by them as those classified as large or with red wale signs. We conducted a quite similar study, currently in press in Arquivos de Gastroenterologia, with 164 cirrhotics from Santa Casa Hospital, Porto Alegre, Brazil.

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2010-07-19   |   863 visitas   |   Evalua este artículo 0 valoraciones

Vol. 9 Núm.3. Julio-Septiembre 2010 Pags. 302-303 Ann Hepatol 2010; 9(3)