{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T21:57:24Z","timestamp":1764194244076},"reference-count":17,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T00:00:00Z","timestamp":1504224000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,9,30]]},"abstract":"Abstract<\/jats:title>\n \n Background and Objectives<\/jats:title>\n Portal hypertensive gastropathy (PHG) is described endoscopically as \u201cmosaic-like appearance\u201d of gastric mucosa with or without the red spots. It can only be diagnosed by upper gastrointestinal (GI) endoscopy. The aim of this study was to determine the diagnostic accuracy of platelet count to spleen diameter ratio (PSR) and right liver lobe diameter to albumin ratio (RLAR) in the detection of PHG using upper GI endoscopy as a gold standard in patients with liver cirrhosis.<\/jats:p>\n <\/jats:sec>\n \n Material and Methods<\/jats:title>\n This cross-sectional study was conducted in the Department of Hepatogastroenterology, Sindh Institute of Urology and Transplantation, Karachi. All consecutive patients with ages 18\u201365 years who were screened using esophagogastroduodenoscopy (EGD) to exclude esophageal varices were enrolled. At the same time, findings related to PHG were noted. After informed consent, all the patients had blood tests including platelet count and albumin and abdominal ultrasound determining spleen diameter and right liver lobe diameter.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Out of 111 patients, 59 (53.15%) were males with a mean age of 44 \u00b1 12.61 years. Rate of PHG was observed in 84.68% (94\/111) cases confirmed by EGD. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of PSR were 87.23%, 5.88%, 83.67%, 7.69%, and 74.7%, respectively, and those of RLAR were 28.72%, 70.59%, 84.38%, 15.19%, and 35.14%, respectively.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n PSR is better predictor of PHG than RLAR but at the expense of relatively lower specificities and NPV likely because of underlying pathophysiology (portal hypertension) which is similar for esophageal varices, PHG, and ascites.<\/jats:p>\n <\/jats:sec>","DOI":"10.1515\/jtim-2017-0025","type":"journal-article","created":{"date-parts":[[2017,10,10]],"date-time":"2017-10-10T10:01:12Z","timestamp":1507629672000},"page":"169-173","source":"Crossref","is-referenced-by-count":9,"title":["Noninvasive clinical predictors of portal hypertensive gastropathy in patients with liver cirrhosis"],"prefix":"10.1515","volume":"5","author":[{"given":"Rajesh","family":"Mandhwani","sequence":"first","affiliation":[{"name":"Departments of Hepatogastroenterology , Sindh Institute of Urology and Transplantation , Karachi , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farina M.","family":"Hanif","sequence":"additional","affiliation":[{"name":"Departments of Hepatogastroenterology , Sindh Institute of Urology and Transplantation , Karachi , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Manzoor","family":"Ul Haque","sequence":"additional","affiliation":[{"name":"Departments of Hepatogastroenterology , Sindh Institute of Urology and Transplantation , Karachi , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh Kumar","family":"Wadhwa","sequence":"additional","affiliation":[{"name":"Departments of Hepatogastroenterology , Sindh Institute of Urology and Transplantation , Karachi , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nasir","family":"Hassan Luck","sequence":"additional","affiliation":[{"name":"Departments of Hepatogastroenterology , Sindh Institute of Urology and Transplantation , Karachi , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Mubarak","sequence":"additional","affiliation":[{"name":"Departments of Histopathology , Sindh Institute of Urology and Transplantation , Karachi , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2017,9,30]]},"reference":[{"key":"2023042508120835998_j_jtim-2017-0025_ref_001_w2aab3b7b5b1b6b1ab1b6b1Aa","doi-asserted-by":"crossref","unstructured":"Chung WJ. 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