Endoscopic findings of bleeding esophagogastric varices

Hepatogastroenterology. Sep-Oct 2002;49(47):1287-9.

Abstract

Background/aims: Endoscopic findings of bleeding gastric and esophageal varices were compared.

Methodology: Seventy patients with first bleeding esophagogastric varices without prior treatments were treated: 47 patients had bleeding esophageal varices (EV group), 11 patients had bleeding cardiac varices (CV group), and 12 patients had bleeding cardiofundic or fundic varices (FV group).

Results: The red color sign was more common in the EV group (45 patients) than in the CV group (4 patients) or FV group (no patients) (P < 0.0001); Mucosal erosion over the varices at the site of bleeding was more common in the CV group (9 patients, P < 0.0005) and FV group (12 patients, P < 0.0001) than in the EV group (12 patients). An ulcer at the bleeding point was more common in the CV group (7 patients, P < 0.01) and FV group (10 patients, P < 0.0001) than in the EV group (11 patients). Gastric ulcer was more common in the CV group (7 patients, P < 0.05) and FV group (10 patients, P < 0.001) than in the EV group (14 patients). Erosive gastritis was more frequent in the FV group (12 patients, P < 0.02) than in the EV group (30 patients).

Conclusions: Violation of the mucosa barrier overlying gastric varices, especially cardiofundic or fundic varices, might be an important step leading to variceal hemorrhage.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Endoscopy, Digestive System*
  • Esophageal and Gastric Varices / diagnosis*
  • Female
  • Gastrointestinal Hemorrhage / diagnosis*
  • Humans
  • Male
  • Middle Aged