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N o v e m b e r 1 2 - 1 3 , 2 0 1 8 | R o m e , I t a l y
Joint Event on
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
Surgery and Anesthesia 2018 & Euro Gastro Congress 2018 Case Reports in Surgery and Invasive Procedures| Volume 2
&
GASTROENTEROLOGY
3rd International Conference on
SURGERY AND ANESTHESIA
International Conference on
Rajul Rastogi, Case Rep Surg Invasive Proced 2018, Volume 2
ROLE OF SPLEEN ELASTOGRAPHY IN
PREDICTING SEVERITY OF ESOPHAGEAL
VARICES
Rajul Rastogi
Teerthanker Mahaveer Medical College & Research Centre, India
Elastography is a non-invasive imaging technique used to evaluate stiff-
ness/elasticity of human tissues. It can be performed by ultrasonography
or magnetic resonance imaging. Ultrasound elastography (US-E) has gained
more acceptance due to wider availability, ease of examination and shorter
examination time relative of magnetic resonance elastography (MR-E). For
long US-E has been in use for determining the severity of liver disease and
predicting its prognosis. Recently, there is a growing interest towards assess-
ment of spleen stiffness / elastography, considering the pivotal role of spleen
in splanchnic circulation during the evolution of liver cirrhosis, portal hyper-
tension & esophageal E using acoustic radiation force impulse
(ARFI) technique allows the quantitative/objective assessment of spleen
stiffness. Hence, a pilot study is conducted to evaluate the role of splenic
elastography in predicting the occurrence & grading of esophageal varices.
Aim: To evaluate the association of spleen stiffness (SS) as measured by
acoustic radiation force impulse elastographic technique with the presence
and grading of esophageal varices.
Material & Methods: Ten patients with features of chronic hepatic disease
and/portal hypertension who were candidates of upper gastrointestinal en-
doscopy were included in our study. Splenic elastography measurement val-
ues (in m/sec) along with presence/absence & grade of esophageal varices
on endoscopic examination were recorded. The diagnostic utility of non-in-
vasive method splenic elastography for predicting varices and their grade on
endoscopy was then calculated.
Results: Splenic stiffness (ARFI values) in m/sec correlated with grade of
esophageal varices on endoscopy being significantly higher in patients with
higher grades of varices who experienced variceal hemorrhage than in those
who did not.
Conclusion: Spleen stiffness measured by ARFI elastography is a reliable pre-
dictor of esophageal varices and can be used as a noninvasive means for
predicting the presence and grade of esophageal varices.
Rajul Rastogi, a post-graduate in radio diagnosis has also
done advanced diploma nutrition dietetics, dip card, dis-
tance learning course and diploma computer application.
He is a fellow of international medical sciences academy
and Indian radiology & imaging, besides being a mem-
ber of multiple prestigious academies including national
academy of medical science. Currently, he is an assistant
professor in Teerthanker mahaveer medical college & re-
search Centre, Moradabad, up and is involved in teach-
ing MBBS & MD students. He has been guest speaker in
multiple CME & conferences and has chaired scientific
sessions in such gatherings as well. He has published
more than 90 scientific papers in International Journals
besides being an author & co-author of more than 50
chapters in more than 15 medical books. He is an edi-
torial board member as well as reviewer for more than
thirty International journals. He is also a PG program con-
sultant & member board of studies for Texila American
University, Guyana, South America. He has keen clinical
research interest in imaging of variety of maxillofacial,
neurology, gastrointestinal and musculoskeletal imaging.
BIOGRAPHY