BPG is committed to discovery and dissemination of knowledge
Prospective Study
Copyright ©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
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, years62.8 ± 7.864.5 ± 7.10.475
Sex, number, M/F21/710/3> 0.99
T0MELD10.1 ± 212.2 ± 1.80.0025
Child (A/B/C), number21/7/01/12/00.00023
Spleen size, cm15.50 ± 2.7415.79 ± 2.150.77
Ascites, yes/no3/257/60.009
Collateral vessels, yes/no6/224/90.797
SA RI0.71 ± 0.120.69 ± 0.050.73
LRA RI0.73 ± 0.170.69 ± 0.060.292
RRA RI0.71 ± 0.140.68 ± 0.050.325
SMA RI0.84 ± 0.090.84 ± 0.080.918
HA RI0.73 ± 0.110.69 ± 0.070.193
PVV, cm/second23.9 ± 5.7922.5 ± 4.160.379
PVD, cm1.25 ± 0.171.27 ± 0.250.91
DI0.44 ± 0.300.49 ± 0.140.450
LSM, kPa26.32 ± 13.4639.62 ± 15.070.013
SSM, kPa47.92 ± 8.5452.03 ± 10.510.232
LP meanLin, AU409.6 ± 356.5717.1 ± 669.20.140
LP PE, AU993.1 ± 920.11547.9 ± 1430.90.218
LP WiR, AU424.8 ± 879.01099.9 ± 2074.10.278
LP mTT, second276.3 ± 203.2181.8 ± 203.40.179
LP TTP, second14.86 ± 7.7311.59 ± 6.710.181
LP AUC, AU45808.7 ± 48761.345046.8 ± 40751.40.959
PV meanLin, AU284.4 ± 237.7340.0 ± 238.20.493
PV PE, AU623.9 ± 582.9772.7 ± 714.50.519
PV WiR, AU81.3 ± 91.6114.7 ± 145.80.459
PV mTTI, second193.7 ± 214.1254.4 ± 225.20.423
PV TTP, second23.71 ± 10.2019.68 ± 6.960.149
PV AUC, AU30180.9 ± 31763.745136.8 ± 35684.00.210
T1MELD9.68 ± 2.1312.46 ± 1.940.0003
Child (A/B/C), number23/5/02/11/00.00019
Spleen size, cm15.5 ± 2.7715.92 ± 2.250.611
Ascites, yes/no5/236/70.127
Collateral vessels, yes/no6/224/90.797
SA RI0.67 ± 0.070.76 ± 0.150.070
LRA RI0.69 ± 0.100.74 ± 0.130.249
RRA RI0.67 ± 0.060.74 ± 0.130.097
SMA RI0.84 ± 0.110.85 ± 0.050.745
HA RI1.01 ± 1.710.72 ± 0.110.373
PVV, cm/second26.66 ± 6.7823.54 ± 5.190.279
PVD, cm12.38 ± 2.2812.62 ± 1.450.690
DI0.46 ± 0.280.31 ± 0.420.274
LSM, kPa25.44 ± 10.1438.33 ± 12.590.0042
SSM, kPa43.29 ± 11.6552.77 ± 11.360.0213
LP meanLin, AU499.4 ± 444.8521.7 ± 464.90.886
LP PE, AU1200.8 ± 1058.6983.0 ± 807.90.474
LP WiR, AU481.4 ± 955.9973.6 ± 1518.20.298
LP mTTI, second261.6 ± 200.9195.6 ± 198.40.334
LP TTP, second12.07 ± 5.9915.19 ± 8.680.191
LP AUC, AU42757.2 ± 43432.234202.5 ± 30970.20.477
PV meanLin, AU782.6 ± 2327.1254.8 ± 209.60.244
PV PE, AU625.5 ± 619.6589.7 ± 622.70.766
PV WiR, AU75.6 ± 62.389.8 ± 104.20.654
PV mTTI, second133.4 ± 150.5256.3 ± 225.80.092
PV TTP, second22.52 ± 7.9119.38 ± 7.830.245
PV AUC, AU32951.1 ± 33858.334981.5 ± 32055.20.854
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 ± 1.260.23 ± 0.730.053
Δ spleen size-0.00 ± 0.690.12 ± 0.440.481
ΔSA RI-0.037 ± 0.120.069 ± 0.150.033
ΔLRA RI-0.040 ± 0.130.046 ± 0.120.048
ΔRRA RI-0.043 ± 0.120.054 ± 0.110.017
ΔSMA RI0.005 ± 0.140.012 ± 0.050.829
ΔHA RI0.284 ± 1.710.026 ± 0.120.434
ΔPVV1.76 ± 5.531.05 ± 4.950.687
ΔPVD-0.30 ± 0.730.15 ± 0.550.036
ΔDI0.02 ± 0.15-0.18 ± 0.430.132
ΔLSM-0.87 ± 8.03-1.30 ± 4.810.836
ΔSSM-4.63 ± 6.710.74 ± 6.120.018
LP Δ meanLin89.80 (203.31)-195.41 (236.54)0.000004
LP ΔPE207.71 (492.36)-564.87 (817.97)0.000002
LP ΔWiR 156.60 (115.09)-126.34 (1130.23)0.000354
LP ΔmTT-14.66 (131.99)13.77 (142.85)0.084885
LP Δ TTP 10.55 (4.40)0.48 (2.41)0.093950
LP Δ AUC-3051.50 (37324.96)-10844.24 (12302.78)0.000065
PV Δ meanLin498.29 (2348.79)-85.14 (95.27)0.000007
PV ΔPE28.59 (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 ΔAUC2770.26 (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-0.84-0.840.43
PV ΔAUC0.340.321.38
T1 LSM-0.33-0.610.54
LP ΔPE0.280.511.66
T1 SSM-0.16-0.570.57
ΔSA RI-0.14-0.910.40
ΔRRA RI-0.13-0.280.75
T0 Child-Pugh-0.11-0.510.60
PV ΔPEApproximately = 00.151.16
Table 4 Clinical score based on 9-variables model
Predictor
Points
Child-Pugh T1 ≥ B1
LSM T1 ≥ 20 kPa1
SSM T1 ≥ 50 kPa1
ΔSA RI ≤ -0.051
ΔRRA RI ≤ -0.031
LP ΔPE ≥ 10 AU-1
PV ΔAUC ≥ 30 AU-1
PV ΔPE ≥ 5 AU-1
Child-Pugh T0 ≥ B1