Why is Spleen Stiffness Better at Predicting Large Esophageal Varices and Variceal Bleeders?

摘要

To the Editor: We read with interest the data presented by Sharma et al.{) on using spleen stiffness (SS) by transient elastog-raphy (TE) to predict esophageal varices (EV). In this study, one of the most striking findings was that although both liver stiffness (LS) and SS were almost comparable at predicting EV (at cut-offs of 27.3 and 40.8 kPa, respectively), only SS was significantly associated with large varices and a higher risk of bleeding.