What are the AASLD recommendations for noninvasive testing in the diagnosis of gastroesophageal varices?

Updated: Jul 30, 2018
  • Author: David C Wolf, MD, FACP, FACG, AGAF, FAASLD; Chief Editor: BS Anand, MD  more...
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Answer

Answer

The AASLD recommends the following for noninvasive testing for the diagnosis of gastroesophageal varices [72] :

  • Patients with a liver stiffness below 20 kPa and a platelet count over 150,000/μL have a very low probability (< 5%) of having high-risk varices, and esophagogastroduodenoscopy (EGD) can be circumvented.
  • In patients who do not meet these criteria, screening endoscopy for the diagnosis of gastroesophageal varices is recommended when the diagnosis of cirrhosis is made.

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