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©The Author(s) 2025.
World J Gastroenterol. Oct 28, 2025; 31(40): 111406
Published online Oct 28, 2025. doi: 10.3748/wjg.v31.i40.111406
Published online Oct 28, 2025. doi: 10.3748/wjg.v31.i40.111406
Table 1 Demographic, clinical and ultrasound parameters at both time points in patients with (responders) and without (non-responders) varices eradication, mean ± SD
| Characteristic | Responders (n = 28) | Non-responders (n = 13) | P value | |
| Age, years | 62.8 ± 7.8 | 64.5 ± 7.1 | 0.475 | |
| Sex, number, M/F | 21/7 | 10/3 | > 0.99 | |
| T0 | MELD | 10.1 ± 2 | 12.2 ± 1.8 | 0.0025 |
| Child (A/B/C), number | 21/7/0 | 1/12/0 | 0.00023 | |
| Spleen size, cm | 15.50 ± 2.74 | 15.79 ± 2.15 | 0.77 | |
| Ascites, yes/no | 3/25 | 7/6 | 0.009 | |
| Collateral vessels, yes/no | 6/22 | 4/9 | 0.797 | |
| SA RI | 0.71 ± 0.12 | 0.69 ± 0.05 | 0.73 | |
| LRA RI | 0.73 ± 0.17 | 0.69 ± 0.06 | 0.292 | |
| RRA RI | 0.71 ± 0.14 | 0.68 ± 0.05 | 0.325 | |
| SMA RI | 0.84 ± 0.09 | 0.84 ± 0.08 | 0.918 | |
| HA RI | 0.73 ± 0.11 | 0.69 ± 0.07 | 0.193 | |
| PVV, cm/second | 23.9 ± 5.79 | 22.5 ± 4.16 | 0.379 | |
| PVD, cm | 1.25 ± 0.17 | 1.27 ± 0.25 | 0.91 | |
| DI | 0.44 ± 0.30 | 0.49 ± 0.14 | 0.450 | |
| LSM, kPa | 26.32 ± 13.46 | 39.62 ± 15.07 | 0.013 | |
| SSM, kPa | 47.92 ± 8.54 | 52.03 ± 10.51 | 0.232 | |
| LP meanLin, AU | 409.6 ± 356.5 | 717.1 ± 669.2 | 0.140 | |
| LP PE, AU | 993.1 ± 920.1 | 1547.9 ± 1430.9 | 0.218 | |
| LP WiR, AU | 424.8 ± 879.0 | 1099.9 ± 2074.1 | 0.278 | |
| LP mTT, second | 276.3 ± 203.2 | 181.8 ± 203.4 | 0.179 | |
| LP TTP, second | 14.86 ± 7.73 | 11.59 ± 6.71 | 0.181 | |
| LP AUC, AU | 45808.7 ± 48761.3 | 45046.8 ± 40751.4 | 0.959 | |
| PV meanLin, AU | 284.4 ± 237.7 | 340.0 ± 238.2 | 0.493 | |
| PV PE, AU | 623.9 ± 582.9 | 772.7 ± 714.5 | 0.519 | |
| PV WiR, AU | 81.3 ± 91.6 | 114.7 ± 145.8 | 0.459 | |
| PV mTTI, second | 193.7 ± 214.1 | 254.4 ± 225.2 | 0.423 | |
| PV TTP, second | 23.71 ± 10.20 | 19.68 ± 6.96 | 0.149 | |
| PV AUC, AU | 30180.9 ± 31763.7 | 45136.8 ± 35684.0 | 0.210 | |
| T1 | MELD | 9.68 ± 2.13 | 12.46 ± 1.94 | 0.0003 |
| Child (A/B/C), number | 23/5/0 | 2/11/0 | 0.00019 | |
| Spleen size, cm | 15.5 ± 2.77 | 15.92 ± 2.25 | 0.611 | |
| Ascites, yes/no | 5/23 | 6/7 | 0.127 | |
| Collateral vessels, yes/no | 6/22 | 4/9 | 0.797 | |
| SA RI | 0.67 ± 0.07 | 0.76 ± 0.15 | 0.070 | |
| LRA RI | 0.69 ± 0.10 | 0.74 ± 0.13 | 0.249 | |
| RRA RI | 0.67 ± 0.06 | 0.74 ± 0.13 | 0.097 | |
| SMA RI | 0.84 ± 0.11 | 0.85 ± 0.05 | 0.745 | |
| HA RI | 1.01 ± 1.71 | 0.72 ± 0.11 | 0.373 | |
| PVV, cm/second | 26.66 ± 6.78 | 23.54 ± 5.19 | 0.279 | |
| PVD, cm | 12.38 ± 2.28 | 12.62 ± 1.45 | 0.690 | |
| DI | 0.46 ± 0.28 | 0.31 ± 0.42 | 0.274 | |
| LSM, kPa | 25.44 ± 10.14 | 38.33 ± 12.59 | 0.0042 | |
| SSM, kPa | 43.29 ± 11.65 | 52.77 ± 11.36 | 0.0213 | |
| LP meanLin, AU | 499.4 ± 444.8 | 521.7 ± 464.9 | 0.886 | |
| LP PE, AU | 1200.8 ± 1058.6 | 983.0 ± 807.9 | 0.474 | |
| LP WiR, AU | 481.4 ± 955.9 | 973.6 ± 1518.2 | 0.298 | |
| LP mTTI, second | 261.6 ± 200.9 | 195.6 ± 198.4 | 0.334 | |
| LP TTP, second | 12.07 ± 5.99 | 15.19 ± 8.68 | 0.191 | |
| LP AUC, AU | 42757.2 ± 43432.2 | 34202.5 ± 30970.2 | 0.477 | |
| PV meanLin, AU | 782.6 ± 2327.1 | 254.8 ± 209.6 | 0.244 | |
| PV PE, AU | 625.5 ± 619.6 | 589.7 ± 622.7 | 0.766 | |
| PV WiR, AU | 75.6 ± 62.3 | 89.8 ± 104.2 | 0.654 | |
| PV mTTI, second | 133.4 ± 150.5 | 256.3 ± 225.8 | 0.092 | |
| PV TTP, second | 22.52 ± 7.91 | 19.38 ± 7.83 | 0.245 | |
| PV AUC, AU | 32951.1 ± 33858.3 | 34981.5 ± 32055.2 | 0.854 |
Table 2 Longitudinal changes of ultrasound parameters in patients with (responders) and without (non-responders) varices eradication
| Responders (n = 28) | Non-responders (n = 13) | P value | |
| ΔMELD | -0.39 ± 1.26 | 0.23 ± 0.73 | 0.053 |
| Δ spleen size | -0.00 ± 0.69 | 0.12 ± 0.44 | 0.481 |
| ΔSA RI | -0.037 ± 0.12 | 0.069 ± 0.15 | 0.033 |
| ΔLRA RI | -0.040 ± 0.13 | 0.046 ± 0.12 | 0.048 |
| ΔRRA RI | -0.043 ± 0.12 | 0.054 ± 0.11 | 0.017 |
| ΔSMA RI | 0.005 ± 0.14 | 0.012 ± 0.05 | 0.829 |
| ΔHA RI | 0.284 ± 1.71 | 0.026 ± 0.12 | 0.434 |
| ΔPVV | 1.76 ± 5.53 | 1.05 ± 4.95 | 0.687 |
| ΔPVD | -0.30 ± 0.73 | 0.15 ± 0.55 | 0.036 |
| ΔDI | 0.02 ± 0.15 | -0.18 ± 0.43 | 0.132 |
| ΔLSM | -0.87 ± 8.03 | -1.30 ± 4.81 | 0.836 |
| ΔSSM | -4.63 ± 6.71 | 0.74 ± 6.12 | 0.018 |
| LP Δ meanLin | 89.80 (203.31) | -195.41 (236.54) | 0.000004 |
| LP ΔPE | 207.71 (492.36) | -564.87 (817.97) | 0.000002 |
| LP ΔWiR 1 | 56.60 (115.09) | -126.34 (1130.23) | 0.000354 |
| LP ΔmTT | -14.66 (131.99) | 13.77 (142.85) | 0.084885 |
| LP Δ TTP 1 | 0.55 (4.40) | 0.48 (2.41) | 0.093950 |
| LP Δ AUC | -3051.50 (37324.96) | -10844.24 (12302.78) | 0.000065 |
| PV Δ meanLin | 498.29 (2348.79) | -85.14 (95.27) | 0.000007 |
| PV ΔPE | 28.59 (279.21) | 183.01 (209.36) | 0.000147 |
| PV ΔWiR 1 | -5.70 (68.67) | -24.82 (42.41) | 0.000354 |
| PV ΔmTT | -50.22 (134.15) | 1.88 (48.14) | 0.034408 |
| PV ΔTTP 1 | -1.19 (6.78) | -0.30 (6.45) | 0.022410 |
| PE ΔAUC | 2770.26 (12605.83) | -10155.34 (15630.37) | 0.000052 |
Table 3 Independent predictors of variceal eradication according to multivariate analysis
| LASSO coefficient | β coefficient | Odds ratio | |
| T1 Child-Pugh | -0.84 | -0.84 | 0.43 |
| PV ΔAUC | 0.34 | 0.32 | 1.38 |
| T1 LSM | -0.33 | -0.61 | 0.54 |
| LP ΔPE | 0.28 | 0.51 | 1.66 |
| T1 SSM | -0.16 | -0.57 | 0.57 |
| ΔSA RI | -0.14 | -0.91 | 0.40 |
| ΔRRA RI | -0.13 | -0.28 | 0.75 |
| T0 Child-Pugh | -0.11 | -0.51 | 0.60 |
| PV ΔPE | Approximately = 0 | 0.15 | 1.16 |
Table 4 Clinical score based on 9-variables model
| Predictor | Points |
| Child-Pugh T1 ≥ B | 1 |
| LSM T1 ≥ 20 kPa | 1 |
| SSM T1 ≥ 50 kPa | 1 |
| ΔSA RI ≤ -0.05 | 1 |
| ΔRRA RI ≤ -0.03 | 1 |
| LP ΔPE ≥ 10 AU | -1 |
| PV ΔAUC ≥ 30 AU | -1 |
| PV ΔPE ≥ 5 AU | -1 |
| Child-Pugh T0 ≥ B | 1 |
- Citation: Ainora ME, Borriello R, Pecere S, Paratore M, Galasso L, Calvez V, Esposto G, Mignini I, Barbaro F, Del Vecchio LE, Ponziani FR, Annicchiarico BE, Garcovich M, Riccardi L, Pompili M, Spada C, Gasbarrini A, Zocco MA. Multiparametric ultrasound for the prediction of the short-term outcome after esophageal varices band ligation. World J Gastroenterol 2025; 31(40): 111406
- URL: https://www.wjgnet.com/1007-9327/full/v31/i40/111406.htm
- DOI: https://dx.doi.org/10.3748/wjg.v31.i40.111406
