Predictive value of blood ammonia levels for the presence of oesophageal varices in liver cirrhosis / Nabil Nassef Sanad Said ; Supervised Iman Ismail Ramzy , Hanan Abdel Hafez Hamed , Hanan Ali Madani
Material type: TextLanguage: English Publication details: Cairo : Nabil Nassef Sanad Said , 2014Description: 124 P. : facsimiles ; 25cmOther title:- القيمة التنبؤية لمستويات الأمونيا في الدم لمعرفة وجود دوالى المريء فى مرضي التليف الكبدي [Added title page title]
- Issued also as CD
Item type | Current library | Home library | Call number | Copy number | Status | Date due | Barcode | |
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Thesis | قاعة الرسائل الجامعية - الدور الاول | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.11.33.M.Sc.2014.Na.P (Browse shelf(Opens below)) | Not for loan | 01010110065800000 | |||
CD - Rom | مخـــزن الرســائل الجـــامعية - البدروم | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.11.33.M.Sc.2014.Na.P (Browse shelf(Opens below)) | 65800.CD | Not for loan | 01020110065800000 |
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Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Tropical Medicine
The current guidelines recommend the screening of all cirrhotic patients by endoscopy, but repeated endoscopic examinations are unpleasant for patients and have a high cost impact and burden on endoscopic units. The aim of this study is to evaluate the accuracy of using ammonia blood level as potential noninvasive predictor of esophageal varices in cirrhotic patients. Methods:This prospective study included one hundred fifty subjects. All studied subjects underwent a detailed clinical examination, biochemical workup, upper gastrointestinal endoscopy and abdominal ultrasound. Ammonia blood levels for all patients were calculated. Results: Ammonia demonstrated a high statistically significant correlation with the presence and grade of esophageal varices if it is put in a prediction model but ammonia alone we cannot depend on it in diagnosis of esophageal varices
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