Research Article

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

Table 2

Comparison between ECVs and no ECVs groups.

VariablesECVsNo ECVs value
No. PtsaMean ± SD
Median (range) or frequency (percentage)
No. PtsaMean ± SD
Median (range) or frequency (percentage)

Age (years)13155.60 ± 10.7811054.55 ± 10.000.475
Sex (male/female)13196 (73.3%)/35 (26.7%)11076 (69.1%)/34 (30.9%)0.473

Etiology of liver diseases
Hepatitis B virus infection13161 (46.6%)11042 (38.2%)0.190
Hepatitis C virus infection1315 (3.8%)11014 (12.7%)0.011
Alcohol abuse13152 (39.7%)11040 (36.4%)0.596
Drug related13111 (8.4%)1109 (8.2%)0.952
Autoimmune liver diseases1317 (5.3%)1109 (8.2%)0.378

Clinical presentations at admission
Hepatic encephalopathy1311 (0.8%)1104 (3.6%)0.269
Gastrointestinal bleeding13156 (42.7%)11038 (34.5%)0.193
Ascites (no/mild/moderate-severe)13154 (41.2%)/52 (39.7%)/25 (19.1%)11056 (50.9%)/37 (33.6%)/17 (15.5%)0.321

History
History of gastrointestinal bleeding13189 (67.9%)11071 (64.5%)0.579
History of endoscopic variceal therapy13183 (63.4%)11057 (51.8%)0.071
EVL as last endoscopic variceal therapeutic approach13173 (55.7%)11047 (42.7%)0.044
EIS as last endoscopic variceal therapeutic approach13110 (7.6%)11010 (9.1%)0.683
Interval between last endoscopic variceal therapy and CT (days)83322.35 ± 399.43
188.00 (1.00–1644.00)
53303.47 ± 328.70
201.00 (3.00–1676.00)
0.598
NSBBs within 1 month before admission11115 (13.5%)7916 (20.3%)0.215

Laboratory data
Red blood cell (1012/L)1313.64 ± 0.96
3.70 (1.59–9.92)
1103.60 ± 0.82
3.76 (1.51–5.05)
0.964
Hemoglobin (g/L)131100.87 ± 27.68
101.00 (28.00–181.00)
110105.80 ± 29.28
106.00 (32.00–159.00)
0.152
White blood cell (109/L)1313.73 ± 2.90
3.20 (0.70–21.60)
1104.80 ± 3.03
4.30 (1.00–20.80)
<0.0001
Platelet (109/L)13186.65 ± 76.13
68.00 (15.00–681.00)
110120.42 ± 85.34
91.00 (23.00–470.00)
<0.0001
Total bilirubin (µmol/L)13126.14 ± 25.71
18.50 (5.60–215.30)
11026.45 ± 27.96
17.60 (6.20–216.50)
0.614
Albumin (g/L)13134.77 ± 6.47
35.30 (14.20–71.40)
11034.55 ± 5.97
35.15 (19.00–50.60)
0.766
Alanine aminotransferase (U/L)13125.77 ± 15.90
20.95 (4.23–99.13)
11033.98 ± 39.01
24.33 (4.47–332.50)
0.119
Aspartate aminotransferase (U/L)13137.47 ± 24.15
28.62 (9.63–151.35)
11045.59 ± 43.11
32.52 (9.74–376.35)
0.057
Alkaline phosphatase (U/L)131100.08 ± 62.67
84.94 (24.35–399.34)
110124.22 ± 109.93
94.61 (31.00–983.93)
0.014
γ-Glutamyl transpeptidase (U/L)13176.67 ± 193.57
28.60 (9.64–1779.18)
110107.93 ± 234.39
41.05 (7.49–1680.03)
0.042
Blood urea nitrogen (mmol/L)1315.65 ± 2.48
5.16 (1.88–20.15)
1105.82 ± 2.77
5.29 (1.86–18.83)
0.897
Creatinine (µmol/L)13165.57 ± 18.07
62.30 (36.39–178.55)
11062.74 ± 16.30
58.67 (27.95–112.58)
0.223
Potassium (mmol/L)1313.90 ± 0.42
3.91 (2.70–5.87)
1103.87 ± 0.43
3.97 (2.42–4.96)
0.950
Sodium (mmol/L)131138.72 ± 2.62
139.00 (127.00–147.70)
110138.84 ± 3.65
139.55 (118.00–145.20)
0.194
Prothrombin time (seconds)13116.52 ± 2.17
16.20 (12.50–23.10)
11016.06 ± 2.85
15.20 (12.60–28.00)
0.005
Activated partial thromboplastin time (seconds)13140.86 ± 5.01
40.20 (30.30–58.10)
11040.39 ± 6.17
39.90 (19.80–71.30)
0.400
International normalized ratio1311.35 ± 0.25
1.31 (1.01–2.56)
1101.30 ± 0.31
1.22 (0.94–2.77)
0.005
Child-Pugh score1316.77 ± 1.61
6.00 (5.00–12.00)
1106.69 ± 1.71
6.00 (5.00–13.00)
0.534
Child-Pugh class (A/B/C)13171 (54.2%)/51 (38.9%)/9 (6.9%)11060 (54.5%)/42 (38.2%)/8 (7.3%)0.988
MELD score1316.93 ± 4.21
6.66 (0.03–24.73)
1105.93 ± 4.77
5.09 (−2.13–27.42)
0.017
EVs on endoscopyb110103 (93.6%)9972 (72.7%)<0.0001
EVNTs on endoscopyb109c65 (59.6%)9939 (39.4%)0.002

Notes:aECVs could not be evaluated because the venous vessels were not obviously enhanced in 2 patients;bas 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;cEVNTs could not be evaluated due to the absence of detailed grade of EVs in their endoscopic reports. 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.