INTRODUCTION Endoscopic surveilance of esophageal varices in patients with liver cirrhosis is expensive for the health system and uncomfortable for the patients. Recently, non-invasive ultrasound-based parameters seem to offer valuable informations about the status of esophaeal varices and thus challenge the need for repetitive endoscopic monitoring. MATERIAL AND METHOD We have performed a sy...

Background and aims Patients with advanced systemic illness or critically ill patients may present with upper gastrointestinal tract (GIT) bleeding which may need endoscopic intervention; however, this may expose them to unnecessary endoscopy. The aim was to validate a novel scoring system for risk stratification for urgency of GIT endoscopy in critically ill patients. Methods This is an obse...

BACKGROUND Esophageal varices-related GI bleeding occurs frequently and early in life in children with biliary atresia and it may be life threatening. OBJECTIVE We report the results of prophylactic sclerotherapy in 13 infants with biliary atresia and large varices. PATIENTS Mean age was 13 months, mean weight was 8.2 kg, mean total serum bilirubin was 258 mumol/L, and mean prothrombin time...

To cite: Lee S-M, Yogan K, Carr T. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015214082 DESCRIPTION A 74-year-old man presented to hospital with intermittent episodes of frank, painless haematuria, 2 years post-radical cystectomy with ileal conduit. Stoma examination revealed dilated stomal varices and peri-stomal ecchymoses (figure 1). An abdominal CT scan ...

10.2217/14750708.4.1.91 © 20 Portal hypertension is one of the main consequences of cirrhosis. Esophageal varices are most often a consequence of portal hypertension, although they can also be formed in other areas of the body, including the stomach, duodenum, colon and/or rectum. Patients with esophageal varices have a strong tendency to develop bleeding. Conversely, varices do not bleed if th...

OBJECTIVES We aimed to explore the model for end-stage liver disease (MELD), Child-Turcotte-Pugh (CTP) score, endotoxin, bleeding score and dynamic changes of D-dimer in chronic liver failure patients with portal hypertension and esophageal varices, and explored their potential contact with bleeding in short-term prognosis. PATIENTS AND METHODS Chronic liver failure patients with esophageal v...

BACKGROUND The schistosomiasis affects 200 million people in 70 countries worldwide. It is estimated that 10% of those infected will develop hepatosplenic status and of these, 30% will progress to portal hypertension and esophagogastric varices, whose expression is through gastrointestinal bleeding with significant mortality in the first bleeding episode. Multiple surgical techniques have been ...

P ORTAL-SYSTEMIC SHUNTS HAVE LONG been considered the operation of choice for bleeding from esophageal varices associated with portal hypertension, although impossible or inadvisable in many patients. It may be impossible because there is no suitable patent vein in the portal circulation to anastomose to a systemic vein, or inadvisable because the liver function is too seriously impaired for th...

BACKGROUND AND AIMS Our aim was to evaluate the utility of endoscopic obliterative therapy with Histoacryl for gastric varices and to investigate the incidence of serious complications. METHODS Endoscopic obliterative therapy with Histoacryl was performed on 129 gastric variceal patients. Sixty-five patients had cardiofornical varices, and 64 had fundal varices. Forty-five of 129 patients wer...

Bleeding from ectopic varices is often massive and fatal with portal hypertension, and stomal varices can occur in patients with stoma. We aimed to treat a hepatitis B surface antigen positive 69 year-old male with liver cirrhosis associated hepatocellular carcinoma with bleeding stomal varices using percutaneous injection sclerotherapy. Percutaneous injection sclerotherapy was performed under ...