A 63-year-old male, chronic alcohol consumer, presented with progressively increasing dysphagia of 6 months duration. Upper gastrointestinal endoscopy revealed dilated esophagus with residue along with esophageal varices. Esophageal manometry revealed findings suggestive of classic achalasia cardia. Endoscopic ultrasound (EUS) examination revealed peri-esophageal collaterals as well as prominen...

The relationships between the serum mineral concentrations and the endoscopic findings of esophageal varices have been poorly investigated. In this study, we investigated hepatitis virus-positive patients who had undergone a liver biopsy (n = 576) and 75 patients with compensated cirrhosis in order to evaluate the association of the zinc value with the severity of liver fibrosis and esophageal ...

Although pleural effusion as a complication of esophageal manipulation is well described in the literature, the fluid is usually nonhemorrhagic. We describe the first patient who had uncomplicated sclerotherapy with ethanolamine for esophageal varices, and on two occasions this patient developed left-sided bloody pleural effusion within 12-72 h after sclerotherapy. The effusion resolved spontan...

BACKGROUND/AIMS To assess the accuracy of transient elastography (TE) in the prediction of esophageal varices (EV). MATERIALS AND METHODS The literature search was conducted by using PubMed, EMBASE, Web of Science, and CENTRAL on The Cochrane Library without time or language restrictions. Terms used were "FibroScan," "transient elastography," "stiffness," and "esophageal varices." The pooled ...

BACKGROUND Endoscopic sclerotherapy is an absolute indication for treating esophageal varices. Re-bleeding is common during the treatment period, before all varices become eradicated. AIM To compare two techniques of endoscopic esophageal varices eradication: sclerotherapy with absolute alcohol and banding ligation. PATIENTS AND METHOD Forty-six patients with liver cirrhosis and esophageal ...

BACKGROUND The presence of gastroesophageal varices is considered a relative contraindication to performing transesophageal echocardiography (TEE), but this is based on expert opinion, and there is limited data to support this recommendation. The aim of this study was to review the complications and benefit of performing TEE in patients with known gastroesophageal varices. METHODS Fourteen pa...

background variceal bleeding is one of the most serious complications of cirrhosis. up to now different methods are created for predicting the complications and mortality of cirrhosis. child- pugh score and meld score are two methods for this use. in this study we investigated and compared survival prognosis of cirrhotic patients by the child-pugh or meld score in two groups of esophageal and g...

A 54-year-old male diagnosed with alcoholic cirrhosis had multiple episodes of upper gastrointestinal bleeding. He had a previous episode of hepatic encephalopathy. Baseline hepatic venous pressure gradient was 10 mmHg, and model for end-stage liver disease (MELD) score was 18. Gastroscopy revealed small low-risk esophageal varices (Figure 1a) and an active spurt from gastroesophageal varices t...

PURPOSE The purpose of this article is to educate nurse practitioners about the pathophysiology surrounding the development of portal hypertension and the effective use of nonselective ß-blockers to prevent primary bleeding and decrease the mortality risk. DATA SOURCES The articles included were retrieved via ISI Web of Science using the years 2004-2009 and key words cirrhosis, portal hyperte...