Introduction:Liver fibrosis evaluation is very important for treatment and prognosis in patients with chronic liver diseases. The "gold standard" method for liver fibrosis assessment is still considered to be the liver biopsy and histopathology, but in the last years non-invasive methods have increasingly been used, especially ultrasound based elastographic ones. Objective: to reveal the value of shear wave elastography in Chronic Liver Diseases as a predictor of Gastro-Esophageal Varices with Endoscopic Correlation. Material and methods: This is a prospective hospital analytic study enrolling 30patientspresented by hematemesis and epigastric pain and diagnosed by abdominal US, real time SWE,PV Doppler at Sohag University Hospital using device(Toshiba Aplio 500)and Esophago-gastroduodenoscopy (EGD) during the period from April 2016 to February 2017. Results:Shear wave was significantly higher among cases compared to controls, there was significant correlation between Shear wave and each of Portal vein diameter, Peak systolic velocity, CBC findings, serology, US findings, oesophagealvarices, gastric varices, and Child's classification, but there was nonsignificant relation between Shear wave and each of age, sex, residence of the patient. Conclusion:Shear Wave elastography (SWE) is effective and non invasive tool in prediction presence of oesophagealvarices in cirrhotic patients.

Background: Varicose veins are defined as dilated, tortuous, and elongated superficial veins of the lower limbs with incompetent valves. Varicose veins are described by the World Health Organization (WHO) as dilatation of the veins, which are sometimes tortuous. Varicose veins are divided into primary and secondary varicose veins according to their etiology. Sclerotherapy could be a minimally invasive technique that uses an injection of a special chemical (sclerosant) into varicosity to wreck and scar the inside lining of the vein. Resulting in blockage of the treated vein. Patients and Methods: This study was conducted at Sohag University hospitals to evaluate the efficacy, safety, and patient satisfaction following foam sclerotherapy for varicose veins. There have been 60 cases with lower limb varicosities whose mean age was 33.72 years (range, 20 -52). Females represented 62% of cases, while the remaining cases were males. As regards the duration of varicosities during this study, it had a mean of 6.03 years (range, 1 -12). The right leg was affected in 52% of cases, while the other cases had the left side affected. The large saphenous veins were treated with 3% Aethoxysclerol. Accessory great saphenous and short saphenous veins were treated with 2% Aethoxysclerol. Reticular veins and telangiectasia treated with 1% Aethoxysclerol Results: The cosmetic appearance showed a major improvement (p < 0.001) after our intervention. Pain sensation was significantly decreased after the intervention. Only 25% of cases reported that sensation after 1 week, which percent decreased all the way down to 3, 3, and seven during the following visits respectively. Saphenofemoral reflux was present in 48% of cases before the intervention, and it decreased all the way down to 7, 3, 3, and seven of cases at the scheduled follow-up visits respectively. Complications were reported by 28% of cases, Skin hyperpigmentation was the most common complication (22%), followed by visual disturbances (8%), and thrombophlebitis(7%). Conclusion: Ultrasound-guided foam sclerotherapy seemed to be a safe and effective procedure for the treatment of chronic venous insufficiency within the selected group of patients.

Background: Varicose veins are defined as dilated, tortuous, and elongated superficial veins of the lower limbs with incompetent valves. Sclerotherapy could be a minimally invasive technique that uses an injection of a special chemical (sclerosant) into a varicosity to wreck and scar the inside lining of the vein. Resulting in blockage of the treated vein. Objective: To explain the efficacy and safety of foam sclerotherapy within the treatment of varicose veins and to see patient's satisfaction after ultrasound-guided foam sclerotherapy. Patients and Methods: This study was conducted at Sohag University hospitals to evaluate the efficacy, safety, and patient satisfaction following foam sclerotherapy for varicose veins. There was 60 cases with lower limb varicosities whose mean age was 33.72 years (range 20 -52). Females represented 62% of cases, while the remaining cases were males. Results:The cosmetic appearance showed a major improvement (p < 0.001) after our intervention. Pain sensation was significantly decreased after the intervention. Only 25% of cases reported that sensation after 1 week, of which percent decreased all the way down to 3, 3, and seven during the following visits respectively. Saphenofemoral reflux was present in 48% of cases before the intervention, and it decreased all the way down to 7, 3, 3, and seven of cases at the scheduled follow up visits respectively. Complications were reported by 28% of cases. Skin hyperpigmentation was the most common complication (22%), followed by visual disturbances (8%), and thrombophlebitis (7%). Conclusion: Ultrasound-guided foam sclerotherapy seemed to be a safe and effective procedure for the treatment of chronic venous insufficiency within the selected group of patients.