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Topic: Esophageal varices


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  Sclerotherapy For Esophageal Varices | aHealthyAdvantage   (Site not responding. Last check: 2007-08-19)
Sclerotherapy for esophageal varices (also called endoscopic sclerotherapy) is a treatment for esophageal bleeding that involves the use of an endoscope and the injection of a sclerosing solution into veins.
Sclerotherapy for esophageal varices cannot be performed on an uncooperative patient, since movement during the procedure could cause the vein to tear or the esophagus to perforate and bleed.
Esophageal varices are enlarged or swollen veins on the lining of the esophagus which are prone to bleeding.
www.ahealthyadvantage.com /topic/topic100587442   (1001 words)

  
 Esophageal Varices
Varices are dilated veins that usually arise from chronic liver disease and cirrhosis.
Objectives.-To (1) assess the incidence of sudden deaths from esophageal variceal hemorrhage in an unselected medicolegal autopsy population and (2) determine demographics of outpatients dying from esophageal variceal hemorrhage with special reference to blood alcohol concentrations at the time of death.
The data we present stress the importance of fatal esophageal variceal hemorrhage as a relevant cause of sudden death occurring outside the hospital in socially isolated, alcohol-addicted individuals.
www.thedoctorsdoctor.com /diseases/esophagus_varices.htm   (1476 words)

  
 MedlinePlus Medical Encyclopedia: Bleeding esophageal varices
Bleeding esophageal varices result from dilated veins in the walls of the lower part of the esophagus and sometimes the upper part of the stomach.
Bleeding varices are a life-threatening complication of portal hypertension (increased blood pressure in the portal vein caused by liver disease).
Bleeding esophageal varices are a serious complication of liver disease and carry a poor prognosis (probable outcome).
www.nlm.nih.gov /medlineplus/ency/article/000268.htm   (652 words)

  
 Esophageal Varices
Esophageal varices are dilated blood vessels within the wall of the esophagus.
The mortality rate for esophageal variceal bleeding, on the first event, is between 40 and 70 percent.
Gastric varices are dilated blood vessels that are found predominantly in the stomach.
www.gastromd.com /education/print_esophagealvarices.html   (549 words)

  
 Postgraduate Medicine: Bleeding esophageal varices
Esophageal varices consist of three or four large trunks that are further characterized by size (table 1).
Endoscopic variceal ligation appears to be emerging as a viable alternative to sclerotherapy, mainly because of fewer complications and similar efficacy in bleeding control (10).
Ischemic necrosis, thrombosis, and fibrosis ensue, eradicating the varix.
www.postgradmed.com /issues/2001/02_01/hegab.htm   (3696 words)

  
 Esophageal Varices, Notes on Cyber Gastroenterology.
Amonst the causes of esophageal varices one must consider liver cirrhosis as the most frequent, but also portal hypertension and thrombosis of the portal or splenic veins can be made responsible in some cases.
The potentially life-threatening aspect of esophageal varices lies in the danger of their profuse bleeding, considered to be one of the severest hemorrhages of the whole g.i.
Variceal sclerosing is another form of treatment which utilizes the fibre-optic endoscope to inject a special substance into the varicose veins of the esophagus, in order to obliterate (sclerose) them.
www.murrasaca.com /Esophagealvarices.htm   (1393 words)

  
 Adult Health Advisor 2005.2: Esophageal Varices
Esophageal varices are enlarged veins that occur in the walls of the esophagus.
Varices that have not caused bleeding may be treated with medicine.
The only way to prevent esophageal varices is to try to prevent the underlying causes, such as liver disease.
www.med.umich.edu /1libr/aha/aha_esophvar_crs.htm   (577 words)

  
 eMedicine - Esophageal Varices : Article by Cenon Buencamino, MD   (Site not responding. Last check: 2007-08-19)
Paraesophageal varices are collateral veins beyond the adventitial surface of the esophagus that parallel intramural esophageal veins.
Esophageal varices may appear as thickened folds with rounded expansions etched in white because of barium trapped in the grooves of adjacent varices.
Nelson SW: The roentgenologic diagnosis of esophageal varices.
www.emedicine.com /radio/topic269.htm   (8401 words)

  
 American Family Physician: Esophageal varices
Barium swallow is generally used to demonstrate esophageal varices, which appear as serpiginous filling defects in the distal esophagus and cardia of the stomach.
Management of esophageal varices is directed at relieving portal hypertension, through correction of the underlying disease process, surgical creation of a portal systemic shunt or, in some cases, liver transplantation.
Esophageal and gastric varices result from transmission of portal venous pressure through the coronary (left gastric) vein into the periesophageal perigastric venous plexus.
www.findarticles.com /p/articles/mi_m3225/is_n1_v40/ai_8869937   (515 words)

  
 Bleeding esophageal varices on MedicineNet.com
Varices are dilated blood vessels usually in the esophagus or stomach.
Portal hypertension is an increase in the pressure within the portal vein (the vein that carries blood from the digestive organs to the liver) due to blockage of blood flow throughout the liver.
The varices are fragile and can rupture easily, resulting in a large amount of blood loss.
www.medicinenet.com /bleeding_varices/article.htm   (672 words)

  
 Esophageal Varices: Diagnosis with Gadolinium-Enhanced MR Imaging of the Liver for Patients with Chronic Liver Damage ...   (Site not responding. Last check: 2007-08-19)
Esophageal Varices: Diagnosis with Gadolinium-Enhanced MR Imaging of the Liver for Patients with Chronic Liver Damage -- Matsuo et al.
Paraesophageal varices are formed by union of groups of dilated perforating veins, and varices connect with left gastric veins inferiorly and with azygos vein superiorly.
Comparison of esophagoscopic and roentgenologic diagnosis of esophageal varices in cirrhosis of the liver.
www.ajronline.org /cgi/content/full/180/2/461   (3293 words)

  
 Healthopedia.com - Bleeding Esophageal Varices (Esophageal Variceal Rupture, Esophageal Variceal Bleeding, Esophageal ...
Healthopedia.com - Bleeding Esophageal Varices (Esophageal Variceal Rupture, Esophageal Variceal Bleeding, Esophageal Variceal Hemorrhage)
Esophageal varices usually form because of a serious liver disease called cirrhosis.
The main cause of bleeding esophageal varices is cirrhosis of the liver.
www.healthopedia.com /bleeding-esophageal-varices   (292 words)

  
 eMedicine - Esophageal Varices : Article by Samy A Azer, MD, PhD
The de novo rate of development of esophageal varices in patients with chronic liver diseases is approximately 8% per year for the first 2 years and 30% by the sixth year.
Patients with esophageal varices and no prior history of variceal hemorrhage should be treated with nonselective beta-adrenergic blockers (eg, propranolol, nadolol, timolol), provided that the use of beta-blockers is not contraindicated (eg, because of insulin-dependent diabetes mellitus, severe chronic obstructive lung disease, congestive heart failure).
Beta-blocker therapy is indicated in patients with esophageal varices and in patients treated for variceal hemorrhage with sclerotherapy or banding.
www.emedicine.com /med/topic745.htm   (4645 words)

  
 JPMA :::   (Site not responding. Last check: 2007-08-19)
Patients who did not have esophageal varices and still were given ß-blockers did not have any better outcome in terms of preventing bleeding.
In one study, the presence of any varices was associated with a platelet count of 90x103/µL whereas for large varices, a platelet count of 80x103/µL was independent risk factors associated with varices.
Platelet count/spleen diameter ratio: proposal and validation of a non-invasive parameter to predict the presence of oesophageal varices in patients with liver cirrhosis.
jpma.org.pk /JPMA/11nov04/fulltext10.htm   (1000 words)

  
 Introduction: Esophageal varices - WrongDiagnosis.com
Researching symptoms of Esophageal varices: Further information about the symptoms of Esophageal varices is available including a list of symptoms of Esophageal varices, other diseases that might have similar symptoms in differential diagnosis of Esophageal varices, or alternatively return to research other symptoms in the symptom center.
Treatments for Esophageal varices: Various information is available about treatments available for Esophageal varices, or research treatments for other diseases.
Statistics and Esophageal varices: Various sources and calculations are available in statistics about Esophageal varices, and you can also research other medical statistics in our statistics center.
www.wrongdiagnosis.com /e/esophageal_varices/intro.htm   (245 words)

  
 Esophageal Varices   (Site not responding. Last check: 2007-08-19)
Small to moderate sized esophageal varices in a 69 year-old woman with cryptogenic cirrhosis.
Esophageal varices in a 74 year-old man with alcoholic cirrhosis.
Large esophageal varix in a 70 year-old man with cirrhosis secondary to chronic hepatitis C and alcoholism.
www.attgi.com /es_ev_01.htm   (68 words)

  
 eMedicine - Esophageal Varices : Article Excerpt by: Samy A Azer, MD, PhD
Draining into the azygos vein, these collaterals include esophageal varices, which are responsible for the main complication of portal hypertension—massive upper GI hemorrhage.
Bleeding from esophageal varices is responsible for only 5-11% upper GI bleeding (incidence varies depending on geographic location).
Gastroesophageal varices have 2 main inflows, the first is the left gastric or coronary vein.
www.emedicine.com /med/byname/esophageal-varices.htm   (618 words)

  
 Hepatitis Central, Primary Prevention of Bleeding from Esophageal Varices
Second, despite a significant reduction in bleeding in the ligation group as compared with the propranolol group, there was no significant difference between the two treatment groups either in overall mortality or in mortality due to bleeding, in contrast to the results of previous primary-prevention studies in which either drugs or sclerotherapy was used.
Prediction of the first variceal hemorrhage in patients with cirrhosis of the liver and esophageal varices: a prospective multicenter study.
Beta-adrenergic-antagonist drugs in the prevention of gastrointestinal bleeding in patients with cirrhosis and esophageal varices -- an analysis of data and prognostic factors in 589 patients from four randomized clinical trials.
www.hepatitis-central.com /hcv/liver/prevention/varices.html   (2190 words)

  
 Esophageal varices - Wikipedia, the free encyclopedia
In medicine (gastroenterology), esophageal varices are extreme dilations of sub-mucosal veins in the mucosa of the esophagus in diseases featuring portal hypertension, secondary to cirrhosis primarily.
Patients with esophageal varices have a strong tendency to develop bleeding.
In emergency situations, the care is directed at stopping blood loss, and maintaining plasma volume.
en.wikipedia.org /wiki/Esophageal_varices   (158 words)

  
 Esophageal Varices   (Site not responding. Last check: 2007-08-19)
Varices are, indeed, forms of varicose veins BUT the term "esophageal varices" has a special clinical significance.
Bleeding esophageal varices can be a medical emergency because it is very difficult to stop bleeding from these veins once it has started.
The elevated hematocrit and/or platelets in MPD contribute to a clotting tendency which increases the likelihood of venous clotting and the abnormal platelet function that may occur in MPD contributes to the difficulty in stopping the bleeding from the varices, which makes this complication a serious one.
www.acor.org /diseases/hematology/MPD/esophag.html   (261 words)

  
 Esophageal varices - MayoClinic.com   (Site not responding. Last check: 2007-08-19)
Esophageal varices are enlarged veins in the esophagus — usually the lower part of the esophagus.
Esophageal varices cause no symptoms unless they rupture and bleed.
Bleeding from esophageal varices is a life-threatening complication that requires immediate medical attention.
www.mayoclinic.com /health/esophageal-varices/AN00991/FORCESSL=false   (192 words)

  
 Bleeding Esophageal Varices   (Site not responding. Last check: 2007-08-19)
Spurting esophageal varix in a 78 year-old man with portal hypertension caused by colon cancer metastatic to liver.
The bleeding caused the varix to decompress and flatten.
Jet of blood from an esophageal varix in a young man with alcoholic cirrhosis, as seen through the banding apparatus attached to the tip of the endoscope.
www.endoatlas.com /es_ev_02.html   (196 words)

  
 Varices, EL SALVADOR ATLAS of Gastrointestinal VideoEndoscopy
pendulous varices in the gastric cardia and fundus.
Fundus varices are observed in the maneuver of
gastric varices are at high risk for variceal bleeding.
www.gastrointestinalatlas.com /English/Esophagus/Varices/varices.html   (1295 words)

  
 Simple test can predict esophageal varices in children   (Site not responding. Last check: 2007-08-19)
Upper gastrointestinal endoscopy confirmed the presence of esophageal varices in 20 of these 22 children.
The researchers noted that a SAAG of 1.1g/dl or greater had a sensitivity of 91%, a specificity of 50%, and an efficacy of 85% in diagnosing esophageal varices in children with cirrhosis.
The researchers conclude that although the study sample was small and the test has its limitations, a "high SAAG [score] is a useful means to predict the presence of esophageal varices in children with ascites," and can assist pediatricians in determining the urgency of care.
archive.mail-list.com /hbv_research/msg02591.html   (396 words)

  
 Misdiagnosis of Underlying Causes of Esophageal varices - WrongDiagnosis.com
Misdiagnosis of Underlying Causes of Esophageal varices - WrongDiagnosis.com
About underlying conditions: With a diagnosis of Esophageal varices, it is important to consider whether there is an underlying condition causing Esophageal varices.
Esophageal varices as a complication: Other conditions that might have Esophageal varices as a complication might be potential underlying conditions.
www.wrongdiagnosis.com /e/esophageal_varices/underly.htm   (196 words)

  
 ICU-USA - Tour - Esophageal Varices
Esophageal varcies are the ballooning of veins in the esophagus.
Treatment of bleeding esophageal varices involves stopping the bleeding and replacing lost blood.
Because bleeding from esophageal varices can be life threatening, individuals with bleeding varices should seek medical attention immediately.
www.icu-usa.com /tour/medical_conditions/varices.htm   (220 words)

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