Liver and Splenic Stiffness in Predicting Esophageal Varices Needing Treatment in MASLD Related Compensated Advanced Chronic Liver Disease.

Exclusion Criteria

• •1. Age \< 18 and \> 70 years, Other etiologies of liver disease.
• •2. Past or present history of decompensation (ascites, variceal bleed, hepatic encephalopathy, jaundice),
• •3. Child Pugh B or C,
• •4. unreliable liver and splenic stiffness in Fibroscan examination,
• •5. Transjugular intrahepatic portosystemic shunt, significant alcohol intake (\> 30 gm/day (M) and 20gm/day (F),
• •6. Acute on chronic liver failure,
• •7. AST and/or ALT \> 5 times the upper limit of normal.
• •8. Hepatocellular carcinoma or any space-occupying lesion in the liver,
• •9. Portal vein thrombosis,
• •10. Biliary obstruction,
• •11. HVOTO,
• •12. Cardiac failure,
• •13. Prior variceal endotherapy or ongoing beta blocker treatment.
• •14. HIV,
• •15. Any malignancy,
• •16. Pregnancy,
• •17. ICD / pacemaker,
• •18. No consent.