Background: The WHO defines cirrhosis as a diffuse liver disease with fibrosis and conversion of normal architecture into abnormal nodules. Studies link portal hypertension markers-such as splenomegaly and low platelet count-to oesophageal varices. Objectives: To assess the platelet count-to-splenic diameter ratio in cirrhosis and To correlate this ratio with oesophageal varices. Methodology: A hospital-based cross-sectional study at Navodaya Medical College, Raichur, included 114 confirmed cirrhosis cases over one year. Cut-off values were: platelet count = 0.984, splenic diameter = 0.783, platelet count/splenic diameter ratio = 0.986. Conclusion: All cirrhosis patients require screening for varices. As endoscopy is invasive and costly, non-invasive markers like the platelet count/splenic diameter ratio can help reduce unnecessary early endoscopies.
Krishna et al. (Mon,) studied this question.
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