A272 Utilizing Bedside Ultrasound to Assess Muscle Mass in Cirrhotic Patients Assessed for Liver Transplantation

Mandill, J; Hilwah, M; Sinclair, Lynne; Eddin, Anas Hussam; Brown, Colin; Anwar, Malik M.; Teriaky, Anouar; Marotta, Paul; Qumosani, Karim

doi:10.1093/jcag/gwz006.271

Journal of the Canadian Association of Gastroenterology

2019

DOI: 10.1093/jcag/gwz006.271

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A272 Utilizing Bedside Ultrasound to Assess Muscle Mass in Cirrhotic Patients Assessed for Liver Transplantation

J Mandill

M Hilwah

Lynne Sinclair

et al.

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Value of ultrasound in grading the severity of sarcopenia in patients with hepatic cirrhosis

El-Liethy¹,

Kamal²

2021

Egypt J Radiol Nucl Med

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Background Ultrasound is emerging as an efficient significant method for measuring muscle mass in patients with liver cirrhosis. It has been applied in numerous studies as an accurate measuring tool for the muscles of the limbs. This study was conducted to assess the severity of sarcopenia in liver cirrhosis patients, through utilizing ultrasound in measuring the cross-sectional area and consequently estimating the muscle mass of both the upper and lower limb muscles, than correlating the results with hand grip strength as representative of functional status. Also, the severity of sarcopenia was correlated with conventional prognostic scores for liver cirrhosis, like Child or MELD scores and detecting its effect on the duration of hospital stay and mortality. Results This study was conducted on 101 liver cirrhosis patients who were admitted to the internal medicine hospital, 30 healthy participants were added as a control group. Using the FNIH (Foundation for the national Institutes of health) cuff off of hand grip (< 26 kg in male and < 16 kg in female, Quadriceps muscle index cutoff was estimated to be(1.67 cm/m2 for male and 1.58 cm/m2 for female). Ultrasound (mid upper arm, mid-thigh and Quadriceps muscle index) showed significant indirect correlation with (Child even in Child A and MELD) scores, as well as with the duration of hospital stay. Also, they showed a direct correlation with HGS. Conclusion Sarcopenia in cirrhotic patients assessed by ultrasonography of (mid upper arm, mid-thigh muscle thickness) and HGS are independent predictors of disease severity and poor outcome, which is assessed by high Child and MELD scores. Also, ultrasound and HGS are straightforward bedside techniques used for assessment of sarcopenia.

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Value of ultrasound in grading the severity of sarcopenia in patients with hepatic cirrhosis

El-Liethy¹,

Kamal²

2021

Egypt J Radiol Nucl Med

View full text Add to dashboard Cite

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Are sarcopenia, frailty and malnutrition prognostic markers of liver disease decompensation in the ambulatory setting? � a prospective cohort study

Correia,

Estevinho,

Mesquita

et al. 2023

Rev Esp Enferm Dig

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A272 Utilizing Bedside Ultrasound to Assess Muscle Mass in Cirrhotic Patients Assessed for Liver Transplantation

Cited by 2 publications

References 0 publications

Value of ultrasound in grading the severity of sarcopenia in patients with hepatic cirrhosis

Value of ultrasound in grading the severity of sarcopenia in patients with hepatic cirrhosis

Are sarcopenia, frailty and malnutrition prognostic markers of liver disease decompensation in the ambulatory setting? � a prospective cohort study

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