A 27-year-old man with no medical history presented abdominal pain and hematemesis. The physical examination on arrival showed right flank tenderness a blood pressure of 92/59 mm Hg heart rate 139 beats per minute. Pertinent laboratory values were normal except for hemoglobin level 10.2 g/dL. patient underwent an emergent esophagogastroduodenoscopy, which esophageal gastroesophageal varices act...

Platelet count to spleen diameter ratio (PSR) was studied extensively as a noninvasive method of diagnosis for varices. The present study aimed to systematically assess the performance of PSR in the diagnosis of varices. PubMed, EMBASE, and article references were searched. The summary receiver operating characteristic curves (AUSROCs), sensitivities, specificities, positive and negative likeli...

BACKGROUND - Bleeding of esophageal varices is the main cause of morbidity and mortality in children and adults with portal hypertension and there are few studies involving secondary prophylaxis in children and adolescents. OBJECTIVE - To evaluate the efficacy of endoscopic secondary prophylaxis in prevention of upper gastrointestinal bleeding in children and adolescents with esophageal varic...

BACKGROUND Use of endoscopic therapies for esophageal varices has resulted in increased prevalence of fundal varices and severe portal hypertensive gastropathy. This study was meant to compare the effect of band ligation and sclerotherapy on development of fundal varices and portal hypertensive gastropathy. METHODS Patients with esophageal varices presenting in the endoscopy unit of Shiakh Za...

Bleeding from ectopic varices, which is rare in patients with portal hypertension, is generally massive and life-threatening. Forty-three patients were hospitalized in our ward for gastrointestinal bleeding from ectopic varices. The frequency of ectopic varices was 43/1218 (3.5%) among portal hypertensive patients in our ward. The locations of the ectopic varices were rectal in thirty-two, duod...

esophagogastric varices are a frequent complication of portal hypertension. bleeding from ectopic varices of the ileum is not only life-threatening, but its accurate diagnosis is also difficult. we have presented the case of a 31-year-old man with massive hematochezia. he was a known case of non-cirrhotic portal hypertension since 15 years prior. conventional examination that included angiograp...

This 49-year-old male, a victim of chronic hepatitis B-related liver cirrhosis, visited our emergency department due to hematemesis and tarry stool passage. Hypovolemic shock severe anemia (Hb 4.8 mg/dL) were noted on arrival. After fluid resuscitation blood transfusion, urgent esophagogastroduodenoscopy revealed no varices in the esophagus cardiac portion stomach; however, some was retained at...

Dual microcatheter retrograde transvenous obliteration (DMRTO) of gastric varices enables dual microcatheters to be advanced to the gastric varices themselves or to a site adjacent to the varices. The sclerosing agent is infused through the first microcatheter following coil embolization of the outflow vessels through the second microcatheter, which is placed several centimeters back from the v...