Accuracy of Meld-Na Score and Other Non-Invasive Predictors of Esophageal Varices Status in Egyptian Patients With Liver Cirrhosis

Esophageal varices (OV) are a serious and common complication of portal hypertension associatedwith liver cirrhosis. Hemorrhage from OV rupture is a life-threatening complication withhigh mortality. The model for end stage liver disease (MELD), MELD-Na+ scores are predictorsof non-transplant surgical mortality among patients with cirrhosis and has been a usefultool predicting the mortality in patients awaiting liver transplantation. As well, they have beensuggested in many studies as useful predictors of OV presence and severity.This study evaluated accurate cut-off values of MELD-Na and aspartate aminotransferase toplatelet count ratio index (APRI), AST/ALT (AAR), creatinine (ASR/Cr) as well as AST/ Bilirubin(AST/Bil.) ratios as new non-invasive predictors for liver cirrhosis patients.