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Review
. 2015 Dec;20(12):1200-7.
doi: 10.4103/1735-1995.172990.

Gastric varices: Classification, endoscopic and ultrasonographic management

Zeeshan Ahmad Wani  1 , Riyaz Ahmad Bhat  2 , Ajeet Singh Bhadoria  3 , Rakhi Maiwall  1 , Ashok Choudhury  1
Affiliations
Review

Gastric varices: Classification, endoscopic and ultrasonographic management

Zeeshan Ahmad Wani et al. J Res Med Sci. 2015 Dec.

Abstract

Gastric varices (GV) are responsible for 10-30% of all variceal hemorrhage. However, they tend to bleed more severely with higher mortality. Around 35-90% rebleed after spontaneous hemostasis. Approximately 50% of patients with cirrhosis of liver harbor gastroesophageal varices. In this review, new treatment modalities in the form of endoscopic treatment options and interventional radiological procedures have been discussed besides discussion on classification and pathophysiology of GV.

Keywords: Endoscopic treatment; gastroesophageal varices; sclerotherapy.

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Figures

Figure 1
Figure 1
Sarin's classification for gastric varices
Figure 2
Figure 2
Hashizome classification of gastric varices
Figure 3
Figure 3
Drawings illustrate Isolated gastric varixs draining via the gastrophrenic venous system and also portal and systemic venous pathways that are potentially involved in gastric varices
Figure 4
Figure 4
Multidetector compute pictures depicting venous anatomy of gastric varices
Figure 5
Figure 5
Ballon occluded retrograde venogram (thick arrow - Gastric varices; thin arrow - balloon catheter; arrow heads- inflow route)
See this image and copyright information in PMC

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