Anorectal varices in portal hypertension have been little studied: Seventy eight per cent of 72 patients with portal hypertension had anorectal varices shown at flexible sigmoidoscopy. Significantly more patients with noncirrhotic portal hypertension had these varices than patients with cirrhosis (89% v 56%, p less than 0.01).

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 radiologica...

Correspondence: Takahiro Sato Department of Gastroenterology, Sapporo Kosei General hospital, Kita 3 higashi 8, Chuo-ku, Sapporo 060-0033, Japan Tel +81 11 261 5331 Fax +81 11 261 6040 Email taka.sato@ja-hokkaidoukouseiren. or.jp Background and aims: The study’s aim was to evaluate the efficacy of endoscopic injection sclerotherapy (EIS) compared with endoscopic band ligation (EBL) in treating ...

INTRODUCTION Endoscopic band ligation (EBL) is superior to endoscopic injection sclerotherapy (EIS) of oesophageal varices, however, EBL is associated with a higher rate of variceal recurrences. OBJECTIVE To examine whether the reduction of recurrent varices can be achieved by additional sclerotherapy of remnant little varices after ligation. METHODS Forty-eight patients with liver cirrhosi...

Objective This preliminary study investigated the clinical safety and efficacy of foam sclerotherapy during shunt surgery to treat portal hypertension and gastroesophageal varices. Methods Seven patients with confirmed portal hypertension and a variceal bleeding history underwent mesocaval shunt with simultaneous polidocanol foam injection into the varices. Computed tomography and endoscopic ...

OBJECTIVE Even after successful Kasai portoenterostomy, progressive hepatic fibrosis in postoperative patients with biliary atresia (BA) can be associated with portal hypertension and esophageal or gastric varices. Therefore, early diagnosis and close follow-up of varices are important. We investigated the correlation between the liver stiffness scores measured by FibroScan and the presence of ...

hospital because of substernal chest pain, dyspnea, and occasional dysphagia to solids. His past medical history was remarkable for diabetes mellitus type II, hyperlipidemia, and Parkinson’s disease. On physical examination he appeared frail but with no apparent distress. Examination of the neck showed no masses, stridor or jugular venous distension. Heart examination disclosed a regular rate a...

Haemoptysis has a long list of causes, but pulmonary varices are amongst the rare causes. Pulmonary varices are rare abnormalities of pulmonary veins that may exist either as an isolated malformation or in association with pulmonary venous hypertension. This case report describes pulmonary varices as a cause of hemoptysis in an adolescent boy, which was diagnosed on multislice CT and confirmed ...

In patients with portal hypertension, bleeding from rectal varices is rare. However, it can be life-threatening. We report a case of massive bleeding from large rectal varices in a 59-year-old man with alcoholic cirrhosis. Emergent transjugular intrahepatic portosystemic shunt (TIPS) placement was performed following failed local endoscopic therapy. Despite normalization of the portosystemic pr...

In liver cirrhosis, variceal bleeding is the last in a chain of events initiated by the increase in portal pressure (estimated in clinical practice by the hepatic venous pressure gradient). When hepatic venous pressure gradient goes above 10 mmHg the patient is at risk of developing varices, and when hepatic venous pressure gradient reaches 12 mmHg variceal bleeding might develop. Currently, th...