Gastric Varices

Gastric varices are dilated submucosal veins in the stomach, which can be a life-threatening cause of upper gastrointestinal hemorrhage. They are most commonly found in patients with portal hypertension, or elevated pressure in the portal vein system, which may be a complication of cirrhosis. Gastric varices may also be found in patients with thrombosis of the splenic vein, into which the short gastric veins which drain the fundus of the stomach flow. The latter may be a complication of acute pancreatitis, pancreatic cancer, or other abdominal tumours.

Patients with bleeding gastric varices can present with bloody vomiting (hematemesis), dark, tarry stools (melena), or rectal bleeding. The bleeding may be brisk, and patients may soon develop shock. Treatment of gastric varices can include injection of the varices with cyanoacrylate glue, or a radiological procedure to decrease the pressure in the portal vein, termed transjugular intrahepatic portosystemic shunt or TIPS. Treatment with intravenous octreotide is also useful to shunt blood flow away from the stomach's circulation. More aggressive treatment including splenectomy (or surgical removal of the spleen) or liver transplantation may be required in some cases.

Read more about Gastric VaricesClinical Presentation, Diagnosis and Classification, Treatment

Other articles related to "gastric varices, varices, gastric":

treatment" class="article_title_2">Gastric Varices - Treatment
... Initial treatment of bleeding from gastric varices focuses on resuscitation, much as with esophageal varices ... suggests that endoscopic injection of cyanoacrylate, known as gastric variceal obliteration or GVO is superior to band ligation in preventing rebleeding rates ... Balloon occluded retrograde transvenous obliteration techniques (BORTO) Gastric variceal ligation, although this modality is falling out of favour Intra-gastric balloon tamponade as ...
Butyl Cyanoacrylate - Medical Applications
... In gastroenterology, butyl cyanoacrylate is used to treat bleeding gastric varices, which are dilated veins that occur in the setting of liver cirrhosis or thrombosis of the splenic vein ... The gastric varices are accessed by endoscopy, which uses a flexible fibre-optic camera to enter the stomach ... Other sites of varices, including esophageal varices, duodenal varices and colonic varices ...