Currently, oesophago-gastroduodenoscopy is the standard method to diagnose the presence of oesophago-gastric varices and to estimate the risk of bleeding. It is recommended that all patients undergo endoscopic screening for varices at the time when cirrhosis is diagnosed. After screening endoscopy, patients with medium or large varices should be treated to prevent bleeding, while all other pati...

CONTEXT Upper gastrointestinal bleeding associated to esophageal varices is the most dramatic complication of cirrhosis. It is recommended screening every cirrhotic for esophageal varices with endoscopy. OBJECTIVES To evaluate the capacity of the platelet count/spleen diameter ratio in non-invasively predicting esophageal varices in a population of cirrhotics originated in an independent cent...

OBJECTIVE To develop non-invasive laboratory variables for the identification of esophageal varices in patients with cirrhosis at Digestive Disease Center, Shifa International Hospital, Islamabad. PATIENTS AND METHODS All patients with chronic viral hepatitis who presented to the Gastroenterology Division between July 2002 to July 2003 were enrolled in the study. All patients with a diagnosis...

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 rectal varices. METHODS Data from 34 consecutive patients who underwent endoscopic treatments for rectal varices were analyzed. The clinical outcomes, including complications, related to EIS or EBL retrospectively. RESULTS In 2...

Aims: To evaluate the utility of endoscopic obliterative therapy with n-butyl-2-cyanoacrylate (tissue adhesives) for gastrointestinal varices and to investigate the incidence of serious complications. Methods: Endoscopic obliterative therapy with n-butyl-2-cyanoacrylate was performed on 228 gastrointestinal variceal patients; 221 gastric varices, 5 duodenal varices, and 2 anastomotic varices af...

BACKGROUND This study assessed the risk of recurrence of esophageal varices by evaluating the severity of cardia vascular structures in patients with portal hypertension by EUS with a catheter US probe before endoscopic variceal ligation. METHODS Thirty consecutive patients with esophageal varices at high risk for bleeding were studied. Simultaneous conventional endoscopy and EUS with a 20 MH...

We report a case of 59-year-old female with non-alcoholic-steato-hepatitis (NASH) induced cirrhosis, who presented with hematochezia. The patient had a history of bleeding esophageal varices treated with endoscopic variceal ligation (EVL). Colonoscopy showed large rectal varices which were the source of her lower gastrointestinal bleeding (LGIB). Since endoscopic treatment for LGIB are limited,...

POSTTRAUMATIC LEFT-SIDED PORTAL HYPERTENSION MANIFESTED WITH BLEEDING FUNDAL VARICES (Abstract): Splenic vein obstruction (usually due to thrombosis) induces left-sided portal hypertension and isolated fundal varices in patients with unaffected liver parenchyma and permeable portal vein. Pancreatic etiology is among the most frequent for splenic vein thrombosis. Hemorrhage from isolated fundal ...

A simple and safe procedure providing sensitive and reproducible direct measurement of intravascular oesophageal variceal pressure (IOVP) during routine oesophagoscopy is described. The method requires only commercially available equipment. First results were obtained in 16 patients with oesophageal varices caused by liver cirrhosis (Child's A) can be summarised as follows: intravascular oesoph...