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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v4i3.2342</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v4i3.2342</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original Research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Frequency of Esophageal Varices in Chronic Liver Disease Patients &amp; its Relationship to Mean of Ratio of Right Lobe of Liver to Serum Albumin Concentration</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Saeed</surname>
            <given-names>Muhammad Furqan</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Mumtaz</surname>
            <given-names>Sami Ullah</given-names>
          </name>
          <email>drsummumtaz@gmail.com</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Nawaz</surname>
            <given-names>Kashif</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Aziz</surname>
            <given-names>Bilal</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Nazar</surname>
            <given-names>Tazeen</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Maqsood</surname>
            <given-names>Shumaila</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>King Edward Medical University/ Mayo Hospital Lahore</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Sami Ullah Mumtaz (drsummumtaz@gmail.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2023-09-25">
        <day>25</day>
        <month>09</month>
        <year>2023</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2023</year>
      </pub-date>
      <volume>4</volume>
      <issue>3</issue>
      <fpage>210</fpage>
      <lpage>213</lpage>
      <history>
        <date date-type="received" iso-8601-date="2023-04-24">
          <day>24</day>
          <month>04</month>
          <year>2023</year>
        </date>
        <date date-type="accepted" iso-8601-date="2023-06-15">
          <day>15</day>
          <month>06</month>
          <year>2023</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2023 The Author(s)</copyright-statement>
        <copyright-year>2023</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v4i3.2342" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v4i3.2342.pdf" content-type="application/pdf"/>
      <abstract>
        <sec>
          <title>Objective</title>
          <p>Aim of present study is to find the frequency of esophageal varices in CLD patients &amp; its relationship to the mean of ratio of right lobe of liver to serum albumin concentration.</p>
        </sec>
        <sec>
          <title>Methodology</title>
          <p>This cross sectional study was completed in Department of Gastroenterology, Mayo Hospital Lahore in six months. After ethical approval, 200 diagnosed patients of CLD recruited using non-probability purposive sampling technique. An informed written consent was acquired from each patient &amp; endoscopy was done for the presence of esophageal varices, ultrasonography to measure right lobe of liver and serum sample to check albumin levels. All patients were then divided in two groups’ i.e. esophageal varices (A) and other without varices (B). The ratio of right lobe of liver to serum albumin concentration was calculated for both groups. Data was analyzed using SPSS Version 26.0.</p>
        </sec>
        <sec>
          <title>Results</title>
          <p>Out of 200 patients, 109 (54.5%) had esophageal varices while 91(45.5%) had no varices while mean ratio of right lobe of liver and serum albumin concentration among the two groups revealed high ratio in esophageal varcies group as compare to without varices group i.e. 39.92+7.43 versus 34.53+5.27 respectively.</p>
        </sec>
        <sec>
          <title>Conclusion</title>
          <p>The frequency of esophageal varices was high in CLD patients while mean of ratio of right lobe of liver to serum albumin concentration was markedly high among patients having varices compared to those lacking varices.</p>
        </sec>
      </abstract>
      <kwd-group xml:lang="en" kwd-group-type="author-keywords">
        <title>Keywords</title>
        <kwd>Chronic liver disease</kwd>
        <kwd>esophageal varices</kwd>
        <kwd>mean ratio</kwd>
        <kwd>right lobe of liver</kwd>
        <kwd>Serum albumin concentration</kwd>
      </kwd-group>
    </article-meta>
  </front>
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  <back>
    <ref-list>
      <title>References</title>
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  </back>
</article>
