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Gastric varices: profile, classification, and management.
Am J Gastroenterol. 1989 Oct; 84(10):1244-9.AJ

Abstract

Development of gastric varices is an important manifestation of portal hypertension. In segmental portal hypertension, gastric varices originate from short gastric and gastroepiploic veins. In generalized portal hypertension, intrinsic veins at cardia participate in the formation of gastric varices. Endoscopy and/or splenoportovenography and a high index of suspicion are required for the diagnosis of gastric varices. The incidence of gastric varices in patients with portal hypertension has been variably reported (2-70%), probably due to difficulties in diagnosis. In a small proportion of patients with gastric varices, chronic portal-systemic encephalopathy or significant variceal bleeding develops. Gastric varices can be classified, depending on their anatomical location, into gastroesophageal varices (a continuation of esophageal varices) or "isolated" gastric varices (fundal or ectopic varices). This distinction is necessary for management. Whereas surgery is recommended for bleeding fundal varices, in acute bleeding from gastroesophageal varices, sclerotherapy could be attempted successfully. In more than a quarter of patients, gastric varices disappear after obliteration of esophageal varices. Prophylactic sclerotherapy of gastric varices is not recommended.

Authors+Show Affiliations

Department of Gastroenterology, G. B. Pant Hospital, New Delhi, India.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

2679046

Citation

Sarin, S K., and A Kumar. "Gastric Varices: Profile, Classification, and Management." The American Journal of Gastroenterology, vol. 84, no. 10, 1989, pp. 1244-9.
Sarin SK, Kumar A. Gastric varices: profile, classification, and management. Am J Gastroenterol. 1989;84(10):1244-9.
Sarin, S. K., & Kumar, A. (1989). Gastric varices: profile, classification, and management. The American Journal of Gastroenterology, 84(10), 1244-9.
Sarin SK, Kumar A. Gastric Varices: Profile, Classification, and Management. Am J Gastroenterol. 1989;84(10):1244-9. PubMed PMID: 2679046.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gastric varices: profile, classification, and management. AU - Sarin,S K, AU - Kumar,A, PY - 1989/10/1/pubmed PY - 1989/10/1/medline PY - 1989/10/1/entrez SP - 1244 EP - 9 JF - The American journal of gastroenterology JO - Am J Gastroenterol VL - 84 IS - 10 N2 - Development of gastric varices is an important manifestation of portal hypertension. In segmental portal hypertension, gastric varices originate from short gastric and gastroepiploic veins. In generalized portal hypertension, intrinsic veins at cardia participate in the formation of gastric varices. Endoscopy and/or splenoportovenography and a high index of suspicion are required for the diagnosis of gastric varices. The incidence of gastric varices in patients with portal hypertension has been variably reported (2-70%), probably due to difficulties in diagnosis. In a small proportion of patients with gastric varices, chronic portal-systemic encephalopathy or significant variceal bleeding develops. Gastric varices can be classified, depending on their anatomical location, into gastroesophageal varices (a continuation of esophageal varices) or "isolated" gastric varices (fundal or ectopic varices). This distinction is necessary for management. Whereas surgery is recommended for bleeding fundal varices, in acute bleeding from gastroesophageal varices, sclerotherapy could be attempted successfully. In more than a quarter of patients, gastric varices disappear after obliteration of esophageal varices. Prophylactic sclerotherapy of gastric varices is not recommended. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/2679046/Gastric_varices:_profile_classification_and_management_ L2 - https://ClinicalTrials.gov/search/term=2679046 [PUBMED-IDS] DB - PRIME DP - Unbound Medicine ER -