{"id":"https://openalex.org/W7208725690","doi":"https://doi.org/10.14309/ctg.0000000000001092","title":"Splenic Elastography as a Predictor of Gastroesophageal Varices in Cirrhosis","display_name":"Splenic Elastography as a Predictor of Gastroesophageal Varices in Cirrhosis","publication_year":2026,"publication_date":"2026-09-04","ids":{"openalex":"https://openalex.org/W7208725690","doi":"https://doi.org/10.14309/ctg.0000000000001092","pmid":"https://pubmed.ncbi.nlm.nih.gov/42696653"},"language":"en","primary_location":{"id":"doi:10.14309/ctg.0000000000001092","doi":"https://doi.org/10.14309/ctg.0000000000001092","is_oa":true,"landing_page_url":"https://doi.org/10.14309/ctg.0000000000001092","pdf_url":null,"source":{"id":"https://openalex.org/S2764670792","display_name":"Clinical and Translational Gastroenterology","issn_l":"2155-384X","issn":["2155-384X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-140","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical and Translational Gastroenterology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.14309/ctg.0000000000001092","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5123528433","display_name":"Jorge Guillermo Pacheco Oliva","orcid":"https://orcid.org/0009-0004-5327-8038","observed_orcids":["https://orcid.org/0009-0004-5327-8038"]},"institutions":[{"id":"https://openalex.org/I4210113413","display_name":"Roosevelt Hospital","ror":"https://ror.org/02e3qt588","country_code":"GT","type":"healthcare","lineage":["https://openalex.org/I4210113413"]}],"countries":["GT"],"is_corresponding":false,"raw_author_name":"Jorge Pacheco Oliva","raw_affiliation_strings":["Department of Gastroenterology and Endoscopy, Hospital Roosevelt, Guatemala City, Guatemala"],"raw_orcid":"https://orcid.org/0009-0004-5327-8038","affiliations":[{"raw_affiliation_string":"Department of Gastroenterology and Endoscopy, Hospital Roosevelt, Guatemala City, Guatemala","institution_ids":["https://openalex.org/I4210113413"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160039655","display_name":"Ninoska Isamar Mel\u00e9ndez Rodr\u00edguez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113413","display_name":"Roosevelt Hospital","ror":"https://ror.org/02e3qt588","country_code":"GT","type":"healthcare","lineage":["https://openalex.org/I4210113413"]}],"countries":["GT"],"is_corresponding":false,"raw_author_name":"Ninoska Isamar Mel\u00e9ndez Rodr\u00edguez","raw_affiliation_strings":["Department of Gastroenterology and Endoscopy, Hospital Roosevelt, Guatemala City, Guatemala"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gastroenterology and Endoscopy, Hospital Roosevelt, Guatemala City, Guatemala","institution_ids":["https://openalex.org/I4210113413"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5031612505","display_name":"Abel Alberto Sanchez Orozco","orcid":"https://orcid.org/0009-0009-1290-510X","observed_orcids":["https://orcid.org/0009-0009-1290-510X"]},"institutions":[{"id":"https://openalex.org/I4210113413","display_name":"Roosevelt Hospital","ror":"https://ror.org/02e3qt588","country_code":"GT","type":"healthcare","lineage":["https://openalex.org/I4210113413"]}],"countries":["GT"],"is_corresponding":false,"raw_author_name":"Abel Alberto S\u00e1nchez Orozco","raw_affiliation_strings":["Department of Gastroenterology and Endoscopy, Hospital Roosevelt, Guatemala City, Guatemala"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gastroenterology and Endoscopy, Hospital Roosevelt, Guatemala City, Guatemala","institution_ids":["https://openalex.org/I4210113413"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210113413"],"apc_list":{"value":2800,"currency":"USD","value_usd":2800},"apc_paid":{"value":2800,"currency":"USD","value_usd":2800},"fwci":2.4543,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.81752278,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10337","display_name":"Liver Disease and Transplantation","score":0.9883000254631042,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10337","display_name":"Liver Disease and Transplantation","score":0.9883000254631042,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10351","display_name":"Liver Disease Diagnosis and Treatment","score":0.0020000000949949026,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10727","display_name":"Ultrasound Imaging and Elastography","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/gastroesophageal-varices","display_name":"gastroesophageal varices","score":0.9800000190734863},{"id":"https://openalex.org/keywords/liver-cirrhosis","display_name":"liver cirrhosis","score":0.9089999794960022},{"id":"https://openalex.org/keywords/portal-hypertension","display_name":"portal hypertension","score":0.9509999752044678},{"id":"https://openalex.org/keywords/splenic-stiffness","display_name":"splenic stiffness","score":0.9729999899864197},{"id":"https://openalex.org/keywords/transient-elastography","display_name":"transient elastography","score":0.9300000071525574},{"id":"https://openalex.org/keywords/non-invasive-prediction","display_name":"non-invasive prediction","score":0.8190000057220459},{"id":"https://openalex.org/keywords/variceal-size","display_name":"variceal size","score":0.8920000195503235},{"id":"https://openalex.org/keywords/child-pugh-score","display_name":"Child-Pugh score","score":0.8309999704360962},{"id":"https://openalex.org/keywords/meld-na-score","display_name":"MELD-Na","score":0.8980000019073486},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.5690000057220459}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9269999861717224},{"id":"https://openalex.org/C2778012290","wikidata":"https://www.wikidata.org/wiki/Q2624485","display_name":"Varices","level":3,"score":0.7730000019073486},{"id":"https://openalex.org/C2777214474","wikidata":"https://www.wikidata.org/wiki/Q147778","display_name":"Cirrhosis","level":2,"score":0.7545999884605408},{"id":"https://openalex.org/C2777690781","wikidata":"https://www.wikidata.org/wiki/Q1324974","display_name":"Elastography","level":3,"score":0.7337999939918518},{"id":"https://openalex.org/C2780826214","wikidata":"https://www.wikidata.org/wiki/Q1324974","display_name":"Transient elastography","level":4,"score":0.70169997215271},{"id":"https://openalex.org/C2778808290","wikidata":"https://www.wikidata.org/wiki/Q124604","display_name":"Portal hypertension","level":3,"score":0.6747000217437744},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.6237000226974487},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6032999753952026},{"id":"https://openalex.org/C2778451229","wikidata":"https://www.wikidata.org/wiki/Q212809","display_name":"Endoscopy","level":2,"score":0.5037999749183655},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.43140000104904175},{"id":"https://openalex.org/C2777595160","wikidata":"https://www.wikidata.org/wiki/Q298278","display_name":"Esophageal varices","level":4,"score":0.4246000051498413},{"id":"https://openalex.org/C2779195621","wikidata":"https://www.wikidata.org/wiki/Q5526797","display_name":"Gastric varices","level":4,"score":0.4092000126838684},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.40400001406669617},{"id":"https://openalex.org/C2777075537","wikidata":"https://www.wikidata.org/wiki/Q929737","display_name":"Liver disease","level":2,"score":0.39910000562667847},{"id":"https://openalex.org/C2779102576","wikidata":"https://www.wikidata.org/wiki/Q5113984","display_name":"Chronic liver disease","level":3,"score":0.3564000129699707},{"id":"https://openalex.org/C137627325","wikidata":"https://www.wikidata.org/wiki/Q156318","display_name":"Etiology","level":2,"score":0.3472999930381775},{"id":"https://openalex.org/C58471807","wikidata":"https://www.wikidata.org/wiki/Q327120","display_name":"Receiver operating characteristic","level":2,"score":0.33889999985694885},{"id":"https://openalex.org/C2777575235","wikidata":"https://www.wikidata.org/wiki/Q558404","display_name":"Alcoholic liver disease","level":3,"score":0.3158999979496002},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.3107999861240387},{"id":"https://openalex.org/C198433322","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value of tests","level":2,"score":0.2703999876976013},{"id":"https://openalex.org/C2776981413","wikidata":"https://www.wikidata.org/wiki/Q3091615","display_name":"Splenic vein","level":4,"score":0.258899986743927}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.14309/ctg.0000000000001092","doi":"https://doi.org/10.14309/ctg.0000000000001092","is_oa":true,"landing_page_url":"https://doi.org/10.14309/ctg.0000000000001092","pdf_url":null,"source":{"id":"https://openalex.org/S2764670792","display_name":"Clinical and Translational Gastroenterology","issn_l":"2155-384X","issn":["2155-384X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-140","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical and Translational Gastroenterology","raw_type":"journal-article"},{"id":"pmid:42696653","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42696653","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical and translational gastroenterology","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.14309/ctg.0000000000001092","doi":"https://doi.org/10.14309/ctg.0000000000001092","is_oa":true,"landing_page_url":"https://doi.org/10.14309/ctg.0000000000001092","pdf_url":null,"source":{"id":"https://openalex.org/S2764670792","display_name":"Clinical and Translational Gastroenterology","issn_l":"2155-384X","issn":["2155-384X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-140","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical and Translational Gastroenterology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":5,"referenced_works":["https://openalex.org/W1978304182","https://openalex.org/W2130601804","https://openalex.org/W2144817440","https://openalex.org/W2969449218","https://openalex.org/W3174905293"],"related_works":["https://openalex.org/W2979789834","https://openalex.org/W7135385965","https://openalex.org/W3093801452","https://openalex.org/W1923523125","https://openalex.org/W4386347694","https://openalex.org/W7220076278","https://openalex.org/W4400173410","https://openalex.org/W3203948936","https://openalex.org/W3132342562","https://openalex.org/W3217055318"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Gastroesophageal":[1,163],"varices":[2,100,164,173,214,220,253],"are":[3,20,277],"a":[4,32,150,267],"major":[5],"complication":[6],"of":[7,59,159,169,184,191,195,213,270],"portal":[8,37],"hypertension":[9,38],"in":[10,51,167,174,211,218,254],"cirrhosis,":[11],"associated":[12],"with":[13,56,65,73,86,149,189,205,230,260],"high":[14],"morbidity":[15],"and":[16,117,135,171,193],"mortality.":[17],"Noninvasive":[18],"predictors":[19],"needed":[21],"to":[22,35,215],"reduce":[23],"reliance":[24],"on":[25],"endoscopy.":[26],"Splenic":[27,79,176,245],"elastography":[28,85,177,246],"has":[29],"emerged":[30],"as":[31,266],"potential":[33],"tool":[34],"assess":[36],"severity.":[39,272],"METHODS:":[40],"We":[41],"conducted":[42],"prospective,":[43],"descriptive":[44],"cross-sectional":[45],"study":[46],"at":[47,197],"Hospital":[48],"Roosevelt,":[49],"Guatemala,":[50],"2024,":[52],"including":[53],"78":[54],"patients":[55,143,170],"recent":[57],"diagnosis":[58],"cirrhosis":[60],"confirmed":[61],"by":[62,130],"ultrasonography.":[63],"Patients":[64],"hepatocellular":[66],"carcinoma,":[67],"acute":[68],"decompensation,":[69],"or":[70,237],"conditions":[71],"interfering":[72],"splenic":[74],"stiffness":[75,80,202],"measurement":[76],"were":[77,119,144,165],"excluded.":[78],"was":[81,91,101,112,125,228],"measured":[82],"using":[83,103],"transient":[84],"the":[87,182],"M":[88],"probe.":[89],"Endoscopy":[90],"performed":[92],"within":[93],"2":[94],"weeks.":[95],"Diagnostic":[96],"accuracy":[97,249],"for":[98,153,250],"gastroesophageal":[99,252],"assessed":[102],"receiver":[104],"operating":[105],"characteristic":[106],"analysis.":[107],"RESULTS:":[108],"The":[109,121,200],"mean":[110,151],"age":[111],"56.1":[113],"years":[114],"(SD":[115,161],"12.6),":[116],"70.5%":[118],"female.":[120],"most":[122],"frequent":[123],"etiology":[124],"viral":[126],"hepatitis":[127],"(30.77%),":[128],"followed":[129],"alcohol-related":[131],"liver":[132,139,155],"disease":[133,140,156],"(19.23%)":[134],"metabolic":[136],"dysfunction-associated":[137],"steatotic":[138],"(11.53%).":[141],"Most":[142],"Child-Pugh":[145,231],"class":[146,232],"A":[147],"(80.76%),":[148],"model":[152],"end-stage":[154],"(MELD)-Na":[157],"score":[158,239],"11.99":[160],"5.46).":[162],"present":[166],"57.69%":[168],"large":[172,219],"26.92%.":[175],"showed":[178],"an":[179],"area":[180],"under":[181],"curve":[183],"0.72":[185],"(95%":[186],"CI:":[187],"0.59-0.83),":[188],"sensitivity":[190],"82.22%":[192],"specificity":[194],"66.67%":[196],"\u226527":[198],"kPa.":[199],"median":[201],"increased":[203],"progressively":[204],"variceal":[206,261,271],"size,":[207,262],"from":[208],"25":[209],"kPa":[210,217],"absence":[212],"50":[216],"(":[221,233,240],"P":[222,234,241],"<":[223],"0.001).":[224],"No":[225],"significant":[226],"correlation":[227],"found":[229],"=":[235,242],"0.538)":[236],"MELD-Na":[238],"0.121).":[243],"DISCUSSION:":[244],"demonstrated":[247],"moderate":[248],"predicting":[251],"cirrhosis.":[255],"Stiffness":[256],"values":[257],"correlated":[258],"significantly":[259],"supporting":[263],"its":[264],"role":[265],"noninvasive":[268],"marker":[269],"Larger":[273],"external":[274],"validation":[275],"studies":[276],"warranted.":[278]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2026-09-05T00:00:00"}
