Tongue thickness in health vs cirrhosis of the liver:Prospective observational study

Chandra Kant Pandey; Harshita Singh; Manish Tandon; Nishant Singla; Priyanka Jain

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Tongue thickness in health vs cirrhosis of the liver:Prospective observational study

Tongue thickness in health vs cirrhosis of the liver:Prospective observational study

作者：

Chandra Kant Pandey Harshita Singh Manish Tandon Nishant Singla Priyanka Jain

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SARCOPENIA

MALNUTRITION

Cirrhosis

the

liver

Child

Turcotte

Pugh

class

Model

for

end

stage

liver

disease

score

ULTRASONOGRAPHY

摘要：

BACKGROUNDMalnutrition affects 40%-90% of patients with cirrhosis of the liver. L3 skeletalmuscle index (L3SMI) is presently accepted as the most objective and quantitativemeasure available for sarcopenia, a surrogate marker of malnutrition. L3SMIapplication is, however, limited by non-availability of computed tomographyscanning in remote areas, cost, need for extensive training, and the risk ofexposure to radiation. Therefore, an alternative dependable measure with wideravailability is needed. Malnutrition causes sarcopenia not only in skeletal musclesbut also in other muscular structures such as the psoas muscle, diaphragm andtongue. We therefore hypothesised that the tongue, being easily accessible forinspection and for measurement of thickness using ultrasonography, may be usedto document sarcopenia.AIMTo measure and compare tongue thickness in healthy individuals and in patientswith cirrhosis of the liver and to study its correlation with conventionalprognostic scores for patients with cirrhosis of the liver.METHODSTongue thickness was measured using ultrasonography. One hundred twentysubjects of either gender aged 18 to 65 years were studied, with 30 subjects in eachgroup. The tongue thickness was compared between groups based on “ChildTurcotte Pugh” (CTP) scores. The correlations between measured tonguethickness and “Model for end stage liver disease” (MELD) score and between age and measured tongue thickness were also assessed.RESULTSMean tongue thickness (mean ± SD) in patients with CTP class A, B and C was4.39 ± 0.39 cm, 4.19 ± 0.53 cm, and 3.87 ± 0.42, respectively, and was 4.33 ± 0.49 cmin normal healthy individuals. Significant differences were seen in tonguethickness between patients with CTP class C and those with CTP class A and B (P< 0.05). Patients with CTP class C also had a significantly reduced tonguethickness than normal individuals (P < 0.05). However, no significant differencewas seen in tongue thickness between patients with CTP class A and B andnormal individuals. A statisti

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篇名	Tongue thickness in health vs cirrhosis of the liver:Prospective observational study
来源期刊	世界胃肠药理与治疗学杂志:英文版(电子版)	学科	医学
关键词	SARCOPENIA MALNUTRITION Cirrhosis of the liver Child Turcotte Pugh class Model for end stage liver disease score ULTRASONOGRAPHY
年，卷（期）	2020,（3）	所属期刊栏目
研究方向		页码范围	59-68
页数	10页	分类号	R57
字数		语种
DOI