Gastric varices: Classification, endoscopic and ultrasonographic management

Zeeshan Ahmad Wani, Riyaz Ahmad Bhat, Ajeet Singh Bhadoria, Rakhi Maiwall, Ashok Choudhury

Abstract


Gastric varices (GV) are responsible for 10-30% of all variceal  hemorrhage. However, they tend to bleed more severely with higher mortality. Around 35-90% rebleed after spontaneous hemostasis. Approximately 50% of patients with cirrhosis of liver harbor  gastroesophageal varices. In this review, new treatment modalities in the form of endoscopic treatment options and interventional radiological procedures have been discussed besides discussion on classification and pathophysiology of GV.


Key words: Endoscopic treatment, gastroesophageal varices, sclerotherapy


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