Prognostic Index of Zoli et al for Prediction of the First Bleeding from the Upper Gastrointestinal Tract in a Patient with Cirrhosis

Purpose: To predict the risk of first time upper GI bleeding in a patient with cirrhosis using the prognostic index (PI) of Zoli et al.

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Evaluation

Are you evaluating a patient with cirrhosis who has not yet had an episode of upper GI bleeding?

Yes

Diameter of the largest gastric varix

Luminal diameter of the esophagus

Are gastric varices present?

Yes

Extent of congestive gastropathy

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Size of the largest varix

Prognostic index (PI)

Probability of a first bleed in 1 year

Probability of a first bleed in 2 years

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Cedars-Sinai Medical Center Predictive Index for Upper GI Hemorrhage
Criteria For Diagnosis
- EVendo Score to Screen for High Risk Esophageal Varices
Severity, Prognosis, Stage
Complications
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality

Therapy

Selection
- Decision Rule of Corley et al for Adverse Outcome in Patients with Upper Gastrointestinal Hemorrhage Using Data Available at Initial Presentation
- Models of Siringo et al for Predicting the Time to the First Variceal Hemorrhage in a Patient with Cirrhosis

Monitoring

Disease Progression
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality
Complication Detection
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality
Comorbid Conditions
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality

Specialty

Gastroenterology

Objective

risk factors
severity
prognosis
stage

ICD-10

I85.0 - Oesophageal varices with bleeding
K25 - Gastric ulcer
K26 - Duodenal ulcer
K29 - Gastritis and duodenitis

Info

Purpose: To predict the risk of first time upper GI bleeding in a patient with cirrhosis using the prognostic index (PI) of Zoli et al.

Specialty: Gastroenterology

Objective: risk factors, severity, prognosis, stage

ICD-10: I85.0, K25, K26, K29,

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