Approximately one in six patients with portal hypertension who develop varices at sites of portosystemic venous collaterals has gastric varices due to hepatofugal flow into the gastric veins. Bleeding from gastric varices, though less common, has a higher mortality and morbidity compared to bleeding esophageal varices, which are easier to manage endoscopically. The efferent channel for gastric ...

A 50-year-oldmanwith alcoholic liver cirrhosis was admitted to our emergency department with massive hematochezia and hypovolemic shock. On admission, laboratory data included hemoglobin 3.1g/dL, hematocrit 9.9%, platelet count 81×109/L, lactates 13.9mmol/L, and international normalized ratio 1.29. Resuscitation was initiated with intravenous fluids and transfusion of 4 units of packed red bloo...

BACKGROUND AND PURPOSE Transient elastography (TE) has been shown to be a valuable tool for the prediction of large esophageal varices. However, the conclusions have not been always consistent throughout the different studies. Therefore, we performed a further meta-analysis in order to evaluate the diagnostic accuracy of transient elastography for the prediction of large esophageal varices. M...

BACKGROUND Portal hypertension leads to the formation of portosystemic collateral veins in liver cirrhosis. The resulting shunting is responsible for the development of portosystemic encephalopathy. Although ammonia plays a certain role in determining portosystemic encephalopathy, the venous ammonia level has not been found to correlate with the presence or severity of this entity. So, it has b...

Background: This study aimed to exam the clinical risk factors of in-hospital variceal rebleeding during treatment intervals using endoscopic variceal sclerotherapy (EVS) in patients with esophageal variceal bleeding. Methods: This retrospective study included 204 cirrhosis patients with esophageal varices who received elective or emergency endoscopic sclerotherapy to prevent bleeding at the Ch...

Background: Upper GI endoscopy is the gold standard technique for diagnosing esophageal varices and to assess risk of bleeding but invasive in nature, costly, time consuming burden department. Besides this platelet count also an important tool predict cirrhotic patient it a highly accurate test. has been noted that patients with varices, less than 100,000/cmm very few data available so aim curr...

BACKGROUND All patients with liver cirrhosis are recommended to undergo an evaluation of esophageal varices (EV) to assess their risk of bleeding. Predicting the presence of EV through non-invasive means may reduce a large number of unnecessary endoscopies. This study was designed to develop a predictive model for varices in patients with Hepatitis B virus-related cirrhosis. METHODS The retro...

Objective: To determine the diagnostic accuracy of multidetector computed tomography in detection esophageal varices patients with hrpatic cirrhosis. Study Design: Cross Sectional study. Setting: Department Diagnostic Radiology, Kot Khawaja Saeed Teaching Hospital, Lahore. Period: January, 2021 to July, 2021. Material & Methods: Two hundred seventy five diagnosed liver cirrhosis were includ...

BACKGROUND AND AIM Inflammatory changes in the stomach caused by Helicobacter pylori indirectly and directly affect liver function. Moreover, the bacteria may worsen the course of the liver cirrhosis. The study aimed at evaluating the incidence of H. pylori infection among patients with liver cirrhosis, depending on the etiology and injury stage, scored according to Child-Pugh classification. S...

Gastrointestinal (GI) bleeding is a common complication of cirrhosis and portal hypertension. Most cases are secondary to gastro-esophageal variceal rupture, managed endoscopically1. Stomal rare there’s no standard therapy2. We present case cirrhotic patient with recurrent stomal hemorrhage successfully treated transjugular intrahepatic portosystemic shunt (TIPS) varices embolization.