Home About us Contact
|
Home About us Contact | ||
|
|
||
Gastric Varices (gastric + varices)
Selected AbstractsSplenic infarction: rare complication of N -butyl-2-cyanoacrylate injection for gastric varicesDIGESTIVE ENDOSCOPY, Issue 1 2010Mevlut Kurt No abstract is available for this article. [source] Role of cyanoacrylate in the management of bleeding gastric varicesHEPATOLOGY, Issue 5 2002Akio Matsumoto M.D. No abstract is available for this article. [source] Portal vein thrombosis in ulcerative colitis complicated by bleeding from gastric varicesINFLAMMATORY BOWEL DISEASES, Issue 3 2007Julia Palkovits MD No abstract is available for this article. [source] Preliminary assessment of miniprobe sonography in the diagnosis of gastric varices and evaluation of treatment with HistoacrylJOURNAL OF DIGESTIVE DISEASES, Issue 1 2001Zhu Qi OBJECTIVE: In comparison with conventional endoscopy, the clinical value of miniprobe sonography (MPS) was assessed both in the diagnosis of gastric varices (GV) and in the evaluation of its treatment with the tissue adhesive agent Histoacryl. METHODS: Twelve patients with liver cirrhosis and portal hypertension caused by hepatitis B in nine cases and hepatitis C in three cases were examined by MPS to verify the presence of gastric fundic varices before and after endoscopic treatment with Histoacryl. Curative efficacy of Histoacryl treatment was defined by the finding of variceal lumen obliteration characteristics in the ultrasonic image. RESULTS: Gastric fundic varices were detected in 10 patients by using MPS, however, only seven cases were detected by using conventional macroscopic examination. For gastric fundic varices, the diagnostic accuracies of standard endoscopy and MPS were 75% (9/12) and 100% (12/12), respectively. Furthermore, MPS was able to produce a practical ultrasonic image of complete or incomplete variceal vessel lumen obliteration for use in the assessment of the efficacy of endoscopic treatment with Histoacryl. CONCLUSIONS: Miniprobe sonography was found to be significantly superior to conventional macroscopic diagnosis in both the detection of fundic varices and the evaluation of the efficacy of endoscopic therapy. Moreover, MPS could play an important role in follow up and in evaluation of the need for further treatment. Therefore, MPS appears to be a safe and very useful clinical technique in evaluating patients with portal hypertension with respect to the detection of fundic varices and may help in selecting patients for appropriate therapy. [source] Review article: recent advances in the management of bleeding gastric varicesALIMENTARY PHARMACOLOGY & THERAPEUTICS, Issue 1 2006D. TRIPATHI Summary Gastric variceal bleeding can be challenging to the clinician. Tissue adhesives can control acute bleeding in over 80%, with rebleeding rates of 20,30%, and should be first-line therapy where available. Endoscopic ultrasound can assist in better eradication of varices. The potential risks of damage to equipment and embolic phenomena can be minimized with careful attention to technique. Variceal band ligation is an alternative to tissue adhesives for the management of acute bleeding, but not for secondary prevention due to a higher rate of rebleeding. Endoscopic therapy with human thrombin appears promising, with initial haemostasis rates typically over 90%. The lack of controlled studies for thrombin prevents universal recommendation outside of clinical trials. Balloon occluded retrograde transvenous obliteration is a recent technique for patients with gastrorenal shunts, although its use is limited to clinical trials. Transjugular intrahepatic portosystemic stent shunt is an option for refractory bleeding and secondary prophylaxis, with uncontrolled studies demonstrating initial haemostasis obtained in over 90%, and rebleeding rates of 15,30%. Non-cardioselective , -blockers are an alternative to transjugular intrahepatic portosystemic stent shunt for secondary prophylaxis, although the evidence is limited. Shunt surgery should be considered in well-compensated patients. Splenectomy or embolization is an option in patients with segmental portal hypertension. [source] Stroke after injection of gastric varicesLIVER INTERNATIONAL, Issue 3 2009Deepak Joshi No abstract is available for this article. [source] | ||||||||||||||||||||||