Insulin resistance as a noninvasive predictor of esophageal varices in hepatitis C virus cirrhotic patients

Abstract

Objectives The aim was to evaluate sensitivity and specificity of insulin resistance (IR) as a noninvasive predictor of esophageal varices (EV) in hepatitis C virus (HCV) cirrhotic patients. Background Variceal bleeding due to portal hypertension is associated with a high probability of circulatory dysfunction and even death. However, routine endoscopy is an invasive maneuver which consumes effort, time, and money. IR was studied as an early noninvasive predictor of EV. Patients and methods Eighty cirrhotic patients were included in this prospective case–control study and 20 nondiabetic nonhepatic patients served as the control group. Patients were recruited from the Gastrointestinal Endoscopy Unit of Tropical Medicine Department, Menoufia University Hospitals from January 2017 to March 2018. IR was calculated by the homeostasis model assessment (HOMA-IR)=fasting insulin (μU/ml)×fasting glucose (mmol/l)/22.5. Results HOMA-IR showed a high statistically significant correlation with the presence and grade of EV in HCV cirrhotic patients (P Conclusion IR estimated by HOMA-IR can provide sensitive information for determination of the presence and grade of EV in HCV cirrhotic patients regardless of their Child–Turcotte–Pugh classification.