Article Text

Download PDFPDF

Education in practice
Managing gastric varices
  1. Deema Sallout1,
  2. Eric Tatro1,
  3. Douglas G Adler2
  1. 1The University of Utah Department of Internal Medicine, Salt Lake City, Utah, USA
  2. 2Endoscopy, Center for Advanced Therapeutic Endoscopy, Denver, Colorado, USA
  1. Correspondence to Dr Douglas G Adler, Endoscopy, Center for Advanced Therapeutic Endoscopy, Denver, CO 80210, USA; dougraham2001{at}gmail.com

Abstract

Gastric varices (GV) are a type of ectopic varix, which is a natural portosystemic shunt occurring in response to an increase in intrahepatic vascular resistance, mostly commonly from portal hypertension. GV are present in up to 20% of patients with portal hypertension. Although oesophageal varices are more common than GV, and oesophageal variceal bleeding (EVB) happens more often than gastric variceal bleeding (GVB), GVB tends to be more severe, to have higher associated hospital costs, length of stay, higher rebleeding rates and have higher mortality. Mortality rates associated with variceal bleeding range from 6% in EVB to 20%–55% in GVB. Risk factors for GV haemorrhage include location, size, severity of liver failure, presence of variceal red spots, and presence of HCC (hepatocellular carcinoma).This manuscript will review endoscopic and non-endoscopic treatment of GV.

  • THERAPEUTIC ENDOSCOPY
  • PORTAL HYPERTENSION
  • ENDOSCOPIC ULTRASONOGRAPHY

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Footnotes

  • DS and ET contributed equally.

  • Contributors All authors contributed equally.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.