Patients with Barrett's esophagus (BE) and cirrhosis who develop high-grade dysplasia (HGD) or adenocarcinoma in the setting of esophageal varices present a unique therapeutic dilemma. There is limited literature regarding the optimal management of varices prior to invasive procedures or surgery involving the distal esophagus. We present a case of variceal decompression with a transjugular intr...

133 While the safety of endoscopic banding liga-tion is largely undisputed, there is one major risk of this technique: esophageal perforation during insertion of the overtube. Perforation of the esophagus often occurs as a result of inability to relax the pharyngeal muscle by the patient and forceful insertion of the tube by the endoscopist. The development of multiple banding ligators (Speedba...

BACKGROUND AND AIMS According to the Baveno VI consensus, patients with liver stiffness < 20 kPa and a platelet count > 150,000 ul have very low risk of clinically significant varices and do not need a screening endoscopy. The aim of this study was to evaluate non-invasive methods as predictors of esophageal varices according to the Baveno VI recommendations, in real life clinical practice. M...

A 3 × 2 factorial experiment was conducted to investigate the effect of thymol + carvacrol (0, 100 and 200 mg/kg) on ileal microbial population and jejuna and ileal histomorphology of broilers fed Carboxy Methyl Cellulose (CMC: 0 and 2%) containing diet. Each of the 6 dietary treatments was replicated 5 times with 12 chicks each from 0 to 42 days of age. There was no interaction effect of CMC a...

of slight melena, which had occurred once or twice a year. Colonoscopy during a health checkup revealed nodular, phyma-like, large varices in a 10 cm area involving the descending to sigmoid colon (●" Fig. 1). Neither flare nor hemorrhage was observed. Plain abdominal radiography showed colonic gas moving to the right (●" Fig. 2). Contrast-enhanced irrigoscopy revealed impairment of the colonic...

The North Italian Endoscopic Club for the Study and Treatment of Esophageal Varices. (1988) Prediction of the first variceal hemorrhage in patients with cirrhosis of the liver and esophageal varices. A Prospective Multicenter Study. The New England Journal of Medicine 319,983-989. We conducted a prospective study of 321 patients with cirrhosis of the liver and esophageal varices with no history...

OBJECTIVE: Optimal endoscopic treatment of gastric varices is still not standardized nowadays. Actively bleeding varices may prohibit a successful endoscopic injection therapy of Histoacryl® (N-butyl-2-cyanoacrylate). Since 2006, we have treated gastric varices by standardized endoscopic ultrasound (EUS) guided Histoacryl injection therapy without severe adverse events. MATERIAL AND METHODS: We...

BACKGROUND/AIMS Endoscopy as a screening modality for esophageal varices is becoming difficult because of its invasiveness, cost, and increased burden of liver cirrhosis. This study aims to determine the diagnostic accuracy of simple and noninvasive markers in detecting esophageal varices. MATERIALS AND METHODS Four variables (platelet count, portal vein diameter, splenic diameter, and ratio ...

Variceal bleeding is the most life-threating complication in liver cirrhosis. The aim of this study was to ascertain the risk factors of bleeding from esophageal varices.52 patients with liver cirrhosis and portal hypertension were included in prospective study. We analyzed the severity of liver dysfunction according to Child's classification, coagulation parameters, and endoscopic parameters: ...

INTRODUCTION Standard endoscopic mucosal resection or endoscopic submucosal dissection is a procedure for patients with minute cancers, complicated with esophageal varices that puts them at high risk of bleeding. CASE PRESENTATION We present the case of a 77-year-old Japanese man with alcoholic cirrhosis who underwent a routine endoscopy examination as a screening procedure for esophageal var...