Background and Methods: We compared propranolol therapy and endoscopic ligation for the primary prevention of bleeding from esophageal varices.

Congenital hepatic fibrosis is a rare cause of portal hypertension and esophageal varices in children. We report cases of siblings with biopsy proven congenital hepatic fibrosis and with atypical retinitis pigmentosa. They presented with repeated episodes of jaundice along with progressive decrease of vision in night. They had hepatosplenomegaly and portal hypertension with esophageal varices. ...

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: Esophageal varices occur at middle to advanced stages of cirrhosis and are associated with increased mortality due their potential for rupture bleeding. The aim this study is examine the accuracy a surrogate marker, Mac-2 binding protein glycosylation isomer (M2BPGi), screening high-risk esophageal in cirrhotic patients. Methods: Ninety-four patients who underwent endoscopy Cipto Ma...

This retrospective study analysed the case records of 200 patients in the Department of Gastroenterology, Singapore General Hospital from February 2000 to January 2001 who had liver cirrhosis and underwent gastroscopy for the detection of varices. The aim of this study was to determine any relationship between leucopenia, thrombocytopenia and the occurrence of esophageal varices in a cirrhotic ...

D a t a s o u r c e s Published and unpublished studies were identified by searching MEDLINE and the Cochrane Controlled Trials Register (last searched August 2001) with combinations and various forms of the terms somatostatin, octreotide, variceal, varices, bleed, hemorrhage, esophag, hematemesis, and melena; reviewing abstracts of conference proceedings and bibliographies of relevant studies;...

Dieulafoy lesion is an uncommon cause of gastrointestinal (GI) bleeding. Most such lesions are reported in the stomach, though a few have been reported in the distal esophagus. We report a 54-year-old man who presented with upper GI bleeding and had esophageal varices but bled from a Dieulafoy lesion 5 cm above the proximal end of the varices.

We present an 8-year-old boy who was referred to our center with the complaint of upper gastrointestinal bleeding and was diagnosed with hypersplenism and progressive esophageal varices. Performing a computerized tomography (CT) scan, we discovered a suspicious finding in the venography phase in favor of thrombosis in the splenic vein. Once complementary examinations were done and due to recurr...

Gastric varices (GV) are less prevalent than esophageal ones. It has been estimated that GV are present in 8-15% of patients with cirrhosis and portal hypertension. However, the prevalence of GV, in those patients with non-cirrhotic portal hypertension, has been estimated to be around 20%. GV should also be investigated in patients who present with splenic vein thrombosis (segmentary portal hyp...