Diagnostic accuracy of spleen stiffness to evaluate portal hypertension and esophageal varices in chronic liver disease: a systematic review and meta-analysis
A total of 32 studies assessing 3952 patients were included in this meta-analysis. SSM was quite useful for ruling out the presence of HREV thereby avoiding unnecessary endoscopy. The pooled sensitivities of SSM were 0.85 (95% CI, 0.74-0.93) for CSPH and 0.84 (95%) for SPH. The SSM could be used as a helpful surveillance tool in management of CLD patients.

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