内視鏡でみた食道静脈瘤と臨床所見との関連について

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  • RELATIONSHIPS BETWEEN ENDOSCOPIC FINDINGS OF ESOPHAGEAL VARICES AND CLINICAL FINDINGS.

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Ninety-five cases of liver cirrhosis with esophageal varices were experienced in our clinic and these were classified endoscopically into grade I, II, IIIa, and IIIb. We studied relationship between the endoscopical findings of esophageal varices and clinical findings, and the following results were obtained. 1) Parallel relationship between splenomegaly and grade of esophageal varices was seen. The larger splenomegaly was the higher grade of esophageal varices was present. The similar relationship was found, between venous dilatation of abdominal wall, and the varices. But no correlation was found between hepatomegaly and grade of esophageal varices. Splenomegaly and venous dilatation were more commonly seen in the bleeding cases, in comparison to the non-bleeding cases. 2) Gamma globulin and platelet count were closely related to the grade of esophageal varices, and some correlation was found between ICG level and grade of esophageal varices, similar correlation was seen in albumin. The value of gamma gulobulin was higher, and the value of platelet count was lower in the bleeding cases than in the non-bleeding cases.

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