Evaluation of Baveno VII Criteria in Predicting Esophageal Varices Among Patients with Compensated Liver Disease at a Tertiary Care Centre (Code-T0352)

Introduction: Esophageal varices are a critical complication of liver disease, necessitating 
early identification to prevent complications. The Baveno VII criteria provide a non-invasive 
approach to stratifying risk in patients with compensated liver disease. 
Aims and Objectives: This study aimed to assess the role of the Baveno VII criteria in 
predicting the presence of esophageal varices and to determine their sensitivity and 
specificity in identifying high-risk patients. 
Methods: A total of 68 patients with compensated liver disease were evaluated. Demographic 
data, liver stiffness, platelet count, and esophageal varices grading were analyzed. Statistical 
tests, including chi-square and ANOVA, were used to assess the association between Baveno 
VII categories and the presence of esophageal varices. 
Results: The study cohort had a mean age of 51.44 years, with a male predominance 
(72.1%). Ethanol-related liver disease (51.5%) was the most common etiology. The 
prevalence of esophageal varices was 51.5%, with a significant correlation to liver stiffness 
and platelet count (p < 0.001). The Baveno VII criteria demonstrated high predictive 
accuracy, with a sensitivity of 100% and specificity of 85.7%. The negative predictive value 
was 100%, confirming its effectiveness in ruling out varices. 
Conclusion: The Baveno VII criteria effectively stratify patients for esophageal varices risk, 
reducing unnecessary endoscopies while ensuring early detection in high-risk individuals. 
This approach enhances clinical decision-making in compensated liver disease management. 
Keywords: Baveno VII, esophageal varices, liver stiffness, platelet count, compensated liver 
disease, predictive criteria