Varizen in Wikipedia

Gastric varices



Varizen in Wikipedia

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Gastric varices - Wikipedia Varizen in Wikipedia

Gastric varices are dilated submucosal veins in the stomachwhich can be a life-threatening cause of bleeding in the upper gastrointestinal tract.

They are most commonly found in patients with portal hypertensionor elevated pressure in the portal vein system, which may be a complication of cirrhosis. Gastric varices may also be found in patients with thrombosis of Varizen in Wikipedia splenic veininto which the short gastric veins which drain the fundus of the stomach flow.

The latter may be a complication of acute pancreatitispancreatic canceror other abdominal tumours, as well as hepatitis C.

Gastric varices and associated bleeding are a potential complication of schistosomiasis resulting from portal hypertension. Patients with bleeding gastric varices can present with bloody vomiting hematemesisdark, Varizen in Wikipedia, tarry stools melenaor rectal bleeding. The bleeding may be brisk, and patients may soon develop shock, Varizen in Wikipedia. Treatment of gastric varices can include injection of the varices with cyanoacrylate glue, or a radiological procedure to decrease the pressure in the portal vein, termed transjugular intrahepatic portosystemic shunt or TIPS.

Treatment with intravenous octreotide is also useful to shunt blood flow away from the stomach's circulation. More aggressive treatment including splenectomy or surgical removal of the spleen or liver transplantation may be required in some cases.

Gastric varices can present in two major ways. Varizen in Wikipedia, patients with cirrhosis may be enrolled in screening gastroscopy Varizen in Wikipedia to detect esophageal varices.

These evaluations may detect gastric varices that are asymptomatic. When gastric varices are symptomatic, however, Varizen in Wikipedia, they usually Varizen in Wikipedia acutely and dramatically with upper gastrointestinal bleeding. The symptoms can include vomiting bloodmelena passing black, tarry stools ; or passing maroon stools or frank blood in the stools.

Many people with bleeding gastric varices present in shock due to the profound loss of blood. Secondly, patients with acute pancreatitis may present with gastric varices as a complication of a blood clot in the splenic vein. The splenic vein sits over the pancreas anatomically and inflammation or cancers of the pancreas may result in a blot clot forming in the splenic vein. As the short gastric veins of the fundus of the stomach drain into the splenic vein, thrombosis of the splenic vein will result in increased pressure and engorgement of the short veins, leading to varices in the fundus of the stomach.

Laboratory testing usually shows low red blood cell count and often a low platelet count. If cirrhosis is present, there may be coagulopathy manifested by a prolonged INR ; both of these may worsen the bleeding from gastric varices. In very rare Varizen in Wikipedia, gastric varices are caused by splenic vein occlusion as a result of the mass effect of slow-growing pancreatic neuroendocrine tumors. Diagnosis of gastric varices is often made at the time of upper endoscopy.

The Sarin classification of gastric varices identifies four different anatomical types of gastric varices, which differ in terms of treatment modalities. Initial treatment of bleeding from gastric varices focuses on resuscitation, much as with esophageal varices.

This includes administration of fluids, blood products, and antibiotics. The results from the only two randomized trials comparing band ligation vs cyanoacrylate suggests that endoscopic injection of cyanoacrylateVarizen in Wikipedia, known as gastric variceal obliteration or GVO is superior to band ligation in preventing rebleeding rates.

Cyanoacrylate, a common component in 'super glue' is often mixed 1: GVO is usually performed in specialized therapeutic endoscopy centers. Varizen in Wikipedia include sepsis, embolization of glue, and obstruction from polymerization in the lumen of the stomach, Varizen in Wikipedia. From Wikipedia, the free encyclopedia. This article does not cite any sources. Please help improve this article by adding citations to reliable sources.

Unsourced material may be challenged and removed. January Learn how and when to remove this template message. Diseases of the digestive system primarily K20—K93— Coeliac Tropical sprue Blind loop syndrome Small bowel bacterial overgrowth syndrome Whipple's Short bowel syndrome Steatorrhea Milroy disease Bile acid malabsorption. Abdominal angina Mesenteric ischemia Angiodysplasia Bowel obstruction: Proctitis Radiation proctitis Proctalgia fugax Rectal prolapse Anismus.

Upper Hematemesis Melena Lower Hematochezia. Peritonitis Spontaneous bacterial peritonitis Hemoperitoneum Pneumoperitoneum, Varizen in Wikipedia. Cardiovascular disease vessels I70—I99— Arteritis Aortitis Buerger's disease. Carotid artery stenosis Renal artery stenosis.

Aortoiliac occlusive disease Degos disease Erythromelalgia Fibromuscular dysplasia Raynaud's phenomenon. Arteriovenous fistula Arteriovenous malformation Telangiectasia Hereditary hemorrhagic telangiectasia. Cherry hemangioma Halo nevus Spider angioma. Chronic venous insufficiency Chronic cerebrospinal venous insufficiency Superior vena cava syndrome Inferior vena cava syndrome Venous ulcer.

Hypertensive heart disease Hypertensive emergency Hypertensive nephropathy Essential hypertension Secondary hypertension Renovascular hypertension Benign hypertension Pulmonary hypertension Systolic hypertension White coat hypertension.

Retrieved from " https: Stomach disorders Diseases of veins, lymphatic vessels and lymph nodes. Articles lacking sources from January All articles lacking sources. Views Read Edit View history. This page was last edited on 8 Marchat By using this site, you Varizen in Wikipedia to the Terms of Use and Privacy Policy. Isolated gastric varices of Sarin classification IGV-1 seen on gastroscopy in a patient with portal hypertension.

Inflammation Arteritis Aortitis Buerger's disease. Hypertension Hypertensive heart disease Hypertensive emergency Hypertensive nephropathy Essential hypertension Secondary hypertension Renovascular hypertension Benign hypertension Pulmonary hypertension Systolic hypertension White coat hypertension.


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