gastric varices


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gastric varices

varices located in the gastric mucosa, most commonly in the cardia and fundus, as a result of portal hypertension, which are prone to ulceration and massive bleeding. Gastric varices are difficult to treat endoscopically and may require TIPS placement.
Farlex Partner Medical Dictionary © Farlex 2012

gas·tric va·ri·ces

(gastrik vari-sēz)
Varices located in gastric mucosa, most commonly in the cardia and fundus, as a result of portal hypertension, which are prone to ulceration and massive bleeding.
Medical Dictionary for the Dental Professions © Farlex 2012
References in periodicals archive ?
A prospective, randomized trial of butyl cyanoacrylate injection versus band ligation in the management of bleeding gastric varices. Hepatology.
The latter leads to the development of esophageal and gastric varices and consequently gastrointestinal bleeding, which is the main cause of death in patients with SMAVF (1,2).
TIPS is accepted as a safe and effective method for both esophageal and gastric varices in the event of bleeding.
The complications and mortality after the first UGB on the cirrhotic patient can be determined by multiple factors: the source of hemorrhage(the rupture of esophageal varices, gastric or duodenal ulcer, portal-hypertensive gastropathy, the rupture of the gastric varices, hemorrhagic gastritis, Mallory-Weiss syndrome, etc.), the gravity of the hemorrhage (hemodynamic impact, etc.), aggravation of the hepatic failure (appreciated by Child-Pugh criteria), other pathologies association (infections, diabetes, chronic respiratory diseases).
Upon endoscopy, most patients are found to harbour esophageal varices while in a minority of patients, gastric varices are the primary sites of bleeding.
We evaluated the correlation between PHE and other endoscopic features of portal hypertension like esophageal varices, portal hypertension gastropathy, and gastric varices. Of the 45 patients which had negative EGD exam for any esophageal varices (EV), portal hypertensive gastropathy (PHG), or gastric varices (GV), 31 patients (69%) had features of portal hypertension enteropathy in their VCE.
Upper GI endoscopy (EGD) remains the gold standard for the evaluation of the presence of esophageal and gastric varices (GEV) [32, 33].
Since cyanoacrylate injection is the first line therapy for variceal bleeding from gastric varices, the readers have the chance of knowing the authors' experience.
A hydrophilic wire and catheter were then passed into the portal vein and a portal venogram demonstrated hepatic flow with evidence of prominent esophageal and gastric varices (Figure 2(b)).
Other complications in PVT patients with cirrhosis were portal hypertensive gastropathy (n = 7, 46.7%), esophageal varices (n = 7, 46.7%), gastric varices (n = 3, 20.0%), and variceal hemorrhage (n = 5, 33.3%).
Gastric varices were graded according to classification proposed by Sarin et al [19] for gastro-oesophageal varices (GOV) and isolated gastric varices (IGV).
Objective: To find out the frequency of gastric varices in patients with portal hypertension based on endoscopic findings.