Downhill esophageal varices: a therapeutic dilemma

Achalasia cardia associated with esophageal varices: a therapeutic dilemma

A 63-year-old male, chronic alcohol consumer, presented with progressively increasing dysphagia of 6 months duration. Upper gastrointestinal endoscopy revealed dilated esophagus with residue along with esophageal varices. Esophageal manometry revealed findings suggestive of classic achalasia cardia. Endoscopic ultrasound (EUS) examination revealed peri-esophageal collaterals as well as prominen...

Therapeutic approach to "downhill" esophageal varices bleeding due to superior vena cava syndrome in Behcet's disease: a case report

BACKGROUND One of the rare presentations of superior vena cava syndrome is bleeding of "downhill" esophageal varices (DEV) and different approaches have been used to control it. This is a case report whose DEV was eradicated by band ligation for the first time. CASE PRESENTATION We report a 42-year-old man who is a known case of Behcet's disease. The patient's first presentation was superior ...

Therapeutic approach to downhill esophageal varices due to SVC syndrome in Behcet ’ s disease : a case report

Sclerosing Therapy of Esophageal Varices

  SUMMARY Bleeding of esophageal varices have a high mortality rate, and medical management is usualy unsuccessful. Surgical methods such as vascular ligation or shunting are expensive. High risk procedures with high mortality. Endoscopic sclerotherapy was applied in 104 patients with acute bleeding of esophageal varices during a period of 5 years in a prospettive and retrospective study. Th...

SPLENIC ARTERIOVENOUS FISTULA: A RARE LESION CAUSING BLEEDING ESOPHAGEAL VARICES

We report a case of a 40 year old man with portal hypertension caused by a splenic arteriovenous fistula that was diagnosed at laparotomy. He presented with bleeding esophageal varices and was initially treated by sclerotherapy. At laparotomy, portal pressure was 40 cmH20 but fell to 20 cm H20 after the fistula was treated with splenectomy. All symptoms disappeared shortly after operation ...