Research Article

Risk Factors for Esophageal Collateral Veins in Cirrhosis with and without Previous Endoscopic Esophageal Variceal Therapy

Table 1

Characteristics of patients.

VariablesNo. PtsMean ± SD
Median (range) or frequency (percentage)

Age (years)24355.11 ± 10.39
Sex (male)243173 (71.2%)

Etiology of liver diseases
Hepatitis B virus infection243103 (42.4%)
Hepatitis C virus infection24319 (7.8%)
Alcohol abuse24392 (37.9%)
Drug related24321 (8.6%)
Autoimmune liver diseases24317 (7.0%)

Clinical presentations at admission
Hepatic encephalopathy2435 (2.1%)
Gastrointestinal bleeding24395 (39.1%)
Ascites (no/mild/moderate-severe)243112 (46.1%)/89 (36.6%)/42 (17.3%)

History
History of gastrointestinal bleeding243161 (66.3%)
History of endoscopic variceal therapy243141 (58.0%)
EVL as last endoscopic variceal therapeutic approach243121 (49.8%)
EIS as last endoscopic variceal therapeutic approach24320 (8.2%)
Interval between last endoscopic variceal therapy and CT (days)137313.60 ± 371.29
190.00 (1.00–1676.00)
NSBBs within 1 month before admission19231 (16.1%)

Laboratory data
Red blood cell (1012/L)2433.63 ± 0.90
3.73 (1.51–9.92)
Hemoglobin (g/L)243102.97 ± 28.41
103.00 (28.00–181.00)
White blood cell (109/L)2434.22 ± 3.00
3.40 (0.70–21.60)
Platelet (109/L)243102.79 ± 82.54
79.00 (15.00–681.00)
Total bilirubin (µmol/L)24326.20 ± 26.62
17.90 (5.60–216.50)
Albumin (g/L)24334.67 ± 6.21
35.20 (14.20–71.40)
Alanine aminotransferase (U/L)24329.57 ± 28.99
22.14 (4.23–332.50)
Aspartate aminotransferase (U/L)24341.28 ± 34.30
30.78 (9.63–376.35)
Alkaline phosphatase (U/L)243111.77 ± 88.64
90.06 (24.35–983.93)
γ-Glutamyl transpeptidase (U/L)24391.81 ± 213.01
33.93 (7.49–1779.18)
Blood urea nitrogen (mmol/L)2435.72 ± 2.60
5.23 (1.86–20.15)
Creatinine (µmol/L)24364.27 ± 17.27
61.71 (27.95–178.55)
Potassium (mmol/L)2433.89 ± 0.42
3.91 (2.42–5.87)
Sodium (mmol/L)243138.79 ± 3.11
139.10 (118.00–147.70)
Prothrombin time (seconds)24316.31 ± 2.50
15.80 (12.50–28.00)
Activated partial thromboplastin time (seconds)24340.66 ± 5.54
40.10 (19.80–71.30)
International normalized ratio2431.33 ± 0.28
1.27 (0.94–2.77)
Child-Pugh score2436.72 ± 1.65
6.00 (5.00–13.00)
Child-Pugh class (A/B/C)243133 (54.7%)/93 (38.3%)/17 (7.0%)
MELD score2436.46 ± 4.48
5.58 (−2.13–27.42)
EVs on endoscopy (no/yes/unknown)211a34 (16.1%)/177 (72.8%) 0 (0.0%)
EVNTs on endoscopy (no/yes/unknown)211a104 (49.3%)/106 (50.2%)/1 (0.5%)b
ECVs on CT (no/yes/unknown)243110 (45.3%)/131 (53.9%)/2 (0.8%)c

Notes:aAs for the patients who underwent endoscopic variceal therapy, only EVs on endoscopy performed after CT during the same hospitalizations were evaluated; as for the patients who did not undergo endoscopic variceal therapy, EVs on endoscopy performed during the same hospitalizations were evaluated, regardless of the order of CT and endoscopy; bEVNTs could not be evaluated due to the absence of detailed grade of EVs in their endoscopic reports; cECVs could not be evaluated because the venous vessels were not obviously enhanced. Pts, patients; SD, standard deviation; EVL, endoscopic variceal ligation; EIS, endoscopic injection sclerotherapy; CT, computed tomography; NSBBs, nonselective beta-blockers; MELD, model for end stage of liver disease; EVs, esophageal varices; ECVs, esophageal collateral veins.