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A combined model based on spleen stiffness measurement and Baveno VI criteria to rule out high-risk varices in advanced chronic liver disease
Antonio Colecchia ,
Federico Ravaioli ,
Giovanni Marasco ,
Agostino Colli ,
Elton Dajti ,
Anna Rita Di Biase ,
Maria Letizia Bacchi Reggiani ,
Annalisa Berzigotti ,
Massimo Pinzani ,
Davide Festi
August 2018
August 2018
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Abstract
<p class="first" id="d3321033e174">Recently, Baveno VI guidelines suggested that esophagogastroduodenoscopy
(EGD) can
be avoided in patients with compensated advanced chronic liver disease (cACLD) who
have a liver stiffness measurement (LSM) <20 kPa and platelet count >150,000/mm3.
We aimed to: assess the performance of spleen stiffness measurement (SSM) in ruling
out patients with high-risk varices (HRV); validate Baveno VI criteria in a large
population and assess how the sequential use of Baveno VI criteria and SSM could safely
avoid the need for endoscopy.
</p>