A prospective, randomized trial of butyl cyanoacrylate injection versus band ligation in the management of bleeding gastric varices
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
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%).
were graded according to classification proposed by Sarin et al  for gastro-oesophageal varices (GOV) and isolated gastric varices
Objective: To find out the frequency of gastric varices
in patients with portal hypertension based on endoscopic findings.