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Published: 2024-10-30
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DOI: https://doi.org/10.52163/yhc.v65iCD10.1601
Issue
Vol. 65 No. CĐ10 - Bệnh viện Thống Nhất
Section
Articles
How to Cite
Vũ, H., & Quýt, N. T. T. (2024). 16. SURVEY THE CORRELATION BETWEEN CHILD-TURCOTTE-PUGH CLASSIFICATION AND THE DEGREE OF ESOPHAGEAL VARICES IN CIRRHOTIC PATIENTS. Vietnam Journal of Community Medicine, 65(CĐ10 - Bệnh viện Thống Nhất). https://doi.org/10.52163/yhc.v65iCD10.1601

16. SURVEY THE CORRELATION BETWEEN CHILD-TURCOTTE-PUGH CLASSIFICATION AND THE DEGREE OF ESOPHAGEAL VARICES IN CIRRHOTIC PATIENTS

Ha Vu1,2, Ngo Thi Thanh Quyt2
1 University of Health Sciences, Vietnam National University Ho Chi Minh City
2 Thong Nhat Hospital

Main Article Content

Abstract

Background: Upper gastrointestinal bleeding due to ruptured esophageal varices (EV) is one of the leading fatal complications in patients with cirrhosis. Currently, many non-invasive methods have been studied to screen for this complication. However, the correlation between the Child-Turcotte-Pugh (CTP) classification and the degree of EV has not been fully studied, especially in Vietnam.


Objective: To investigate the correlation between the Child-Turcotte-Pugh classification and the degree of EV in patients with cirrhosis.


Subjects and Methods: A cross-sectional descriptive study was conducted on 225 cirrhotic patients at Thong Nhat Hospital. Patients underwent biochemical tests, upper gastrointestinal endoscopy, and abdominal ultrasound. They were classified according to the Child-Turcotte-Pugh scoring system. The study aimed to find the correlation between the presence of large EV (grade 2, grade 3) and the CTP classification.


Results: The rate of EV in the study population was 82.7%, with large EV (grade 2, grade 3) accounting for 60%. The distribution of Child-Turcotte-Pugh classifications A, B, and C were 19.1%, 37.3%, and 43.6%, respectively. In the group with small EV (grade 0, grade 1), Child A patients had the highest proportion (74.4%). In contrast, in the group with large EV (grade 2, grade 3), Child C patients had the highest proportion (76.5%).


Conclusion: The Child-Turcotte-Pugh classification is a valuable non-invasive method for predicting the presence of large EV in patients with cirrhosis.

Article Details

Keywords

Cirrhosis, large esophageal varices, Child-Turcotte-Pugh classification

References

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