Management of gastric varices

J Gastroenterol Hepatol. 2011 Jan;26 Suppl 1:102-8. doi: 10.1111/j.1440-1746.2010.06572.x.

Abstract

Although the incidence of bleeding from gastric varices is relatively low (10%-36%), the bleeding is massive once it has occurred and it increases the patient's mortality. The management of esophageal variceal bleeding is highly differentiated with several effective treatments available. In contrast, bleeding from gastric varices continues to be a therapeutic challenge. In the last decade, there have been increasing reports regarding the management of gastric varices. In this article we review recent progress in the management of gastric varices and discuss further expected studies.

Publication types

  • Review

MeSH terms

  • Esophageal and Gastric Varices / complications
  • Esophageal and Gastric Varices / physiopathology
  • Esophageal and Gastric Varices / therapy*
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / physiopathology
  • Gastrointestinal Hemorrhage / therapy*
  • Hemodynamics
  • Hemostasis, Endoscopic
  • Hemostatic Techniques* / adverse effects
  • Hemostatics / therapeutic use
  • Humans
  • Ligation
  • Patient Selection
  • Portasystemic Shunt, Transjugular Intrahepatic
  • Risk Assessment
  • Splenectomy
  • Treatment Outcome

Substances

  • Hemostatics