P-72 CLINICAL PROFILE OF PATIENTS SUBJECTED TO ENDOSCOPIC LIGATION OF ESOPHAGEAL VARICES IN A REFERENCE HOSPITAL IN THE DOMINICAN REPUBLIC

Introduction

From 40 to 50% of patients with cirrhosis present esophageal varices at the time of diagnosis of their disease. To date, the association of the presence of esophagogastric varices with splenic size, liver function, platelet count, and other clinical factors is controversial.

Objectives

To identify the clinical, laboratory and imaging variables that could alert us to the presence of esophageal varices in patients with portal hypertension. What is the clinical profile of patients undergoing endoscopic ligation of esophageal varices?

Methods

A descriptive, retrospective and longitudinal study was carried out. Data were collected from patients who underwent endoscopic ligation of esophageal varices from January 2015 to December 2020, electronic records were reviewed in search of laboratory variables, liver Doppler and upper endoscopy at the time of ligation, qualitative variables were expressed In simple frequency, the associations were made using the chi square test.

Results

28 patients were included: 78.5% male and 21.5% female. The main cause of portal hypertension was NASH (28.5%), followed by alcohol. There were 10 patients (35.8%) in Child A; (32.1%) in B, and (32.1%) in C. The MELD mean was 15.1. Only (10.7%) presented with severe thrombocytopenia. Splenomegaly was present in (46.4%), with portal dilation in (39.3%). In (78.5%) there was concomitant portal gastropathy. (39.3%) were performed in a context of high bleeding and (100%) were large.

Conclusion

No determining clinical parameters were found in relation to the presence of esophageal varices.