Comparison of Diagnostic Accuracy of Portal Serum Ascitic Albumin Gradient (SAAG) with Ascitic Fluid Total Protien (AFTP) Differentiating Portal Hypertension from Non-Portal in Patients with Ascites

• DOI: 10.53350/pjmhs211561924
• Publication Date: 2021-08-15T15:18:35Z
• Authors: Salman Khan; Ihsan Ullah; Moeen ul Haq; Umar Badshah; Maryam Nazir
• Keywords: Ascitic fluid; Spontaneous bacterial peritonitis

Introduction: Although majority of the cases ascites have cirrhosis, there are 15% patients where is a non-hepatic cause fluid retention like malignancy, congestive heart failure and tuberculous peritonitis. Ascites most common complication cirrhosis that leads to hospital admission. Objective:To compare diagnostic Accuracy Serum Ascitic Albumin Gradient (SAAG) Fluid Total Proteins in with by taking Ultrasound abdomen & Pelvis as gold standard. There international studies on accuracy SAAG determining but not much local data. Additionally, widely used our setup. The results this study will add existing knowledge help diagnosis better management these patients. Material Methods: A cross sectional validation was conducted department General Medicine, DHQTH, Dera Ismail Khan from 29th April Oct, 2019. Diagnostic aspirated peritoneal cavity ascitic sent laboratory for total protein albumin. Blood taken at same time send serum calculated subtracting albumin value value. Both, values documented proforma. Abdomen done each patient special instruction radiologist comment upon Portal Vein diameter any changes its respiration. Results: As per comparison Of ultrasound detecting ascites, sensitivity 36.26%, specificity 75%, PPV 84.62%, NPV 23.68% 44.35%. P Value 0.299. AFTP 33.33%, 59.34%, 17.78%, 77.14% 53.91%. 0.513. Conclusion:SAAG exhibits possess basis portal hypertension. Thus we come conclusion can effectively enhance tests therefore classification be considered novel standard analysis fluid. Keywords: Accuracy, Volume, (SAAG), (AFTP)