Screening for esophageal varices in cirrhotic patients – Non-invasive methods

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Screening for Esophageal Varices

This is one of a series of statements discussing the utilization of gastrointestinal endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy prepared this text. A previous guideline related to this topic (Gastrointest Endosc 2002;56:618-20) was published in 2002. Since that time, new information has become available whi...

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[Noninvasive diagnosis of esophageal varices in cirrhotic patients].

INTRODUCTION Variceal bleeding is a frequent and serious complication of cirrhosis. Early detection of varices by videogastroscope (VGC) is recommended in all patients with cirrhosis to determine the need for prophylactic treatment. Have been described noninvasive markers of the presence of esophageal varices, which could prevent the realization of VGC for that purpose. OBJECTIVE To determine...

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Non-invasive diagnosis of esophageal varices after Baveno VI.

A major complication of portal hypertension in patients with cirrhosis is the development of esophageal varices with the associated risk of variceal bleeding. Hence, the Baveno consensus on portal hypertension in its first five editions had recommended surveillance with periodic upper endoscopies in these patients to identify in a timely fashion the development of esophageal varices and initiat...

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Evaluation and treatment of esophageal varices in the cirrhotic patient.

Portal hypertension is the leading cause of morbidity and mortality in liver cirrhosis. Complications of portal hypertension in cirrhotic patients include esophageal and gastric varices, portal hypertensive gastropathy, ascites, hepatorenal syndrome, hepatopulmonary syndrome and portopulmonary hypertension. The hepatic venous pressure gradient should be at least 10 mmHg for esophageal varices t...

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Esophageal capsule endoscopy for screening and surveillance of esophageal varices in patients with portal hypertension.

UNLABELLED Bleeding from esophageal varices (EV) is a serious consequence of portal hypertension. Current guidelines recommend screening patients with cirrhosis with esophagogastroduodenoscopy (EGD) to detect varices. However, the unpleasantness and need for sedation of EGD may limit adherence to screening programs. Pilot studies have shown good performance of esophageal capsule endoscopy in de...

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ژورنال

عنوان ژورنال: Annals of Hepatology

سال: 2019

ISSN: 1665-2681

DOI: 10.1016/j.aohep.2019.06.003