A 71-year-old woman with primary myelofibrosis and esophageal varices was admitted for her first rubber band ligation procedure (platelet count, 58000/mm3; partial thromboplastin time, 33.4 seconds; international normalized ratio, 1.28). At endoscopy, the esophageal mucosa was extremely fragile and difficult to aspirate into the ligation device. Three of the six rubber bands placed at the gastr...

Forty patients with bleeding oesophageal varices were studied during treatment by endoscopic sclerotherapy to discover what factors determine successful outcome. Large varices required more injections than small varices for obliteration, and rebleeding during treatment occurred only in patients with large varices. Radiological studies with sclerosant contrast mixture showed that in two groups o...

We report the first described case in the United States of balloon-occluded antegrade transvenous obliteration (BATO) performed in a cirrhotic patient with recurrent bleeding from large rectal varices. This is a novel interventional radiology approach to treat bleeding rectal varices. Our patient was a poor candidate for transjugular intrahepatic portosystemic shunt and endoscopic band ligation...

Rectal varices most commonly develop in patients with portal hypertension due to liver cirrhosis. Although rectal varices rarely cause bleeding, their rupture can lead to life-threatening massive hemorrhages. Balloonoccluded retrograde obliteration (BRTO) is feasible in cases of varices involving a single or a few drainage vessels. Although rectal varices usually have numerous drainage vessels,...

BACKGROUND Proximal or 'downhill' esophageal varices are a rare cause of upper gastrointestinal hemorrhage. Unlike the much more common distal esophageal varices, which are most commonly a result of portal hypertension, downhill esophageal varices result from vascular obstruction of the superior vena cava (SVC). While SVC obstruction is most commonly secondary to malignant causes, our review of...

BACKGROUND The relationships between the metabolic parameters and the endoscopic findings of esophageal varices have been poorly investigated. We investigated the association of the branched-chain amino acids to tyrosine ratio (BTR) with the severity of liver fibrosis and esophageal varices. MATERIAL AND METHODS We studied hepatitis C virus (HCV)-positive chronic liver disease patients who ha...

background: since variceal bleeding due to portal hypertension is associated with a high mortality rate, effective treatment leads to improved survival. endoscopic sclerotherapy is an effective treatment for bleeding esophageal varices, but it is associated with significant complications. to determine the efficacy and safety of endoscopic sclerotherapy, we evaluated the patients with variceal b...

OBJECTIVE To determine the safety and usefulness of a two-tiered approach to balloon-occluded retrograde transvenous obliteration (B-RTO) as a treatment for large gastric varices after portal hypertension. MATERIALS AND METHODS 50 patients were studied who underwent B-RTO for gastric varices between October 2004 and October 2011 in our institution. The B-RTO procedure was performed from the r...

Introduction: Macroscopic hematuria involving bladder varices is a rare presentation to Emergency Department (ED). Its presentation warrants immediate diagnosis and management to prevent severe anaemia and hypovolaemia. Injection therapy may be an option that can be offered as an alternative procedure to treat gross hematuria. It is considered less invasive when compared to an open surgery espe...

results in total, 420 participants (25.7%) had gerd symptoms. risk factors with significant effects consisted of smoking, consumption of non-steroidal anti-inflammatory drugs (nasids), overeating, chronic diseases, tea and coffee consumption and gerd in spouse. conclusions the prevalence of gerd among people living in mashhad was above the average prevalence in other cities of iran. however, ri...