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RecruitingNCT07920744Updated Nov 6, 2026

The Value of Spleen Thickness and Spleen Diameter for Gastroesophageal Varices Diagnosis in Compensated Cirrhosis

An observational study in Liver Cirrhosis and Gastroesophageal Varices, sponsored by Fifth Affiliated Hospital, Sun Yat-Sen University. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Fifth Affiliated Hospital, Sun Yat-Sen University · Observational

Updated Nov 6, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Case-crossover
Time perspective
Retrospective
Enrollment
364
Ages
18 Years and older
Sex
All
01

Study summary

This retrospective cross-sectional diagnostic study compared the diagnostic performance of ultrasound-measured spleen thickness (ST) and spleen diameter (SD) against esophagogastroduodenoscopy (EGD) for gastroesophageal varices (GOV) and high-risk varices (HRV) detection in patients with compensated cirrhosis.

The authors, including senior physicians in infectious diseases and ultrasound, reviewed the medical records and the following data were recorded on a case report form: participants' demographic, etiologic, and laboratory data; SD, ST, portal vein diameter (PVD) and spleen vein diameter (SVD) values; liver stiffness measurement (LSM), spleen stiffness measurement (SSM) by transient elastography (TE); and EGD results.

02

Conditions studied

  • Liver Cirrhosis
  • Gastroesophageal Varices

Keywords

  • spleen size
  • esophageal and gastric varices
  • compensated cirrhosis
  • non-invasive diagnostic model
  • machine learning
03

In context

Liver Cirrhosis

1,298 studies on the registry are indexed under Liver Cirrhosis; 338 are open to participants now.

This study's planned enrollment of 364 is above the median of 171 across 526 observational studies indexed under Liver Cirrhosis.

Browse Liver Cirrhosis studies →

Lead sponsor

Fifth Affiliated Hospital, Sun Yat-Sen University is the lead sponsor of 59 studies on the registry; 21 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients (age ≥18 years) with compensated cirrhosis were enrolled at The Fifth Affiliated Hospital, Sun Yat-sen University from January 2019 to June 2026.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age ≥18 years;
  2. compensated cirrhosis;

Exclusion criteria

Exclusion Criteria:

  1. history of hepatic decompensation, such as ascites, EVB, and hepatic encephalopathy;
  2. non-cirrhotic portal hypertension;
  3. digestive system such as hepatocellular carcinoma, pancreatic carcinoma, or other malignant tumors infiltrating the digestive system;
  4. acute liver disease, or serum total ≥ 100 μmol/L;
  5. history of splenectomy;
  6. acute or chronic portal vein thrombosis;
  7. pregnancy;
  8. concomitant infection;
  9. prior TIPS, endoscopic variceal ligation (EVL), or endoscopic injection sclerotherapy (EIS);
  10. receipt of non-selective beta-blockers (NSBBs) or diuretics within 3 months before EGD or abdominal ultrasonography;
  11. persistent drug abuse other than alcohol;
  12. an interval of more than 6 months between abdominal ultrasonography and EGD, or the absence of results from either examination.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Observational model
Case-crossover
Time perspective
Retrospective
Enrollment
364 participants (estimated)
Patient registry
No

Groups and cohorts

  • study group

    This is an retrospective cross-sectional diagnostic study. All participants included will be in one study group. Reference standard: EGD. The study used EGD (Olympus 260 or 290) as the reference standard for GOV and HRV detection. Index test: spleen size. An experienced sonographer blindly re-reviewed the patients' previous abdominal ultrasonographic images to assess for ultrasonographic evidence of cirrhosis and to measure SD, ST, portal vein diameter (PVD) and spleen vein diameter (SVD) values. SD was defined as the maximum distance between the dome of the spleen and the spleen tip, while ST was defined as the maximum distance between the medial and lateral borders of the spleen.

    Diagnostic Test: spleen diameter · Diagnostic Test: spleen thickness · Diagnostic Test: esophagogastroduodenoscopy (EGD)

Interventions

  • Diagnostic testspleen diameter

    Spleen diameter was measured during abdominal ultrasound examination, and was defined as the maximum distance between the splenic dome and the splenic tip.

  • Diagnostic testspleen thickness

    Spleen thickness was measured during abdominal ultrasound examination, and was defined as the maximum distance between the medial and lateral borders of the spleen

  • Diagnostic testesophagogastroduodenoscopy (EGD)

    The study used EGD (Olympus 260 or 290) as the reference standard for GOV and HRV detection.

06

What researchers measure

Primary outcomes

  1. Gastroesophageal Varices

    Presence of gastroesophageal varices (GOV), recorded as present or absent, determined by esophagogastroduodenoscopy (EGD)

    Time frame: From January 2019 to June 2026 (retrospective medical record review)

  2. high-risk varices

    High-risk varices (HRV) was diagnosed when either of the following criteria was met: (1) variceal diameter ≥ 0.5 cm, or (2) the presence of more than one risk factor for variceal bleeding, such as red signs.

    Time frame: From January 2019 to June 2026 (retrospective medical record review)

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07920744
Lead sponsor
Fifth Affiliated Hospital, Sun Yat-Sen University
Responsible party
Xi Liu (principal investigator, Fifth Affiliated Hospital, Sun Yat-Sen University) — Principal investigator
First posted
Nov 6, 2026
Start date
Oct 28, 2026
Primary completion
Oct 28, 2026
Completion
Nov 11, 2026 (estimated)
Last update
Nov 6, 2026

Study contacts

Xi Liu
Contact
liuxi26@mail.sysu.edu.cn
15992670630

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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