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Topic: Intestinal varices

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Gastric varices

Esophageal varices

Portal hypertension

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	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.
		Varices can also form in other areas of the body, including the stomach (gastric varices), duodenum (duodenal varices), and rectum (rectal varices).
		In cases of refractory bleeding, balloon tamponade may be necessary, usually as a bridge to further endoscopy, a transjugular intrahepatic portosystemic shunt (TIPS), or a distal splenorenal shunt procedure or a liver transplantation.
	en.wikipedia.org /wiki/Esophageal_varices (372 words)

	The Turkish Journal of Gastroenterology (Site not responding. Last check: 2007-10-20)
		Variceal bleeding is one of the main causes of death in patients with portal hypertension.
		Duodenal varices resulting from retroperitoneal porto-systemic shunts are caused by increased hepatofugal blood flow through the cystic branch of the superior mesenteric vein, the superior and inferior pancreaticoduodenal veins, and the gastroduodenal and pyloric veins (4).
		Gastric, intestinal, and gallbladder varices: hemodynamic and therapeutic considerations.
	www.turkgastro.org /text.php?id=329 (1646 words)

	Texas Virtual Clinic Common Diseases
		Intestinal Obstruction is a blockage of the lumen of the gastrointestinal tract by a constriction from a growth, fibrous band (adhesion), inflammation (inflammatory bowel disease), diverticulitis, herniation, invagination, foreign body (intussusception), or torsion.
		Varices are dilated veins that occur beneath the lining of the esophagus, stomach, and more rarely, the other organs of the gastrointestinal tract.
		Esophagastric varices are a sign of increased pressure within the veins that drain the gastrointestinal tract and are a result of obstruction to the flow of blood from this system.
	utsurg.uth.tmc.edu /digestive/diseases.html (1259 words)

	Intestinal Obstruction
		Intestinal obstruction involves a partial or complete blockage of the bowel that results in the failure of the intestinal contents to pass through.
		Severe intestinal distention is self-perpetuating and progressive, intensifying the peristaltic and secretory derangements and increasing the risks of dehydration, ischemia, necrosis, perforation, peritonitis, and death.
		Simple intubation with a long intestinal tube, rather than surgery, may be attempted in treating early postoperative obstruction or repeated obstruction caused by adhesions in the absence of peritoneal signs.
	www.indiasurgeons.com /int_obs.htm (1957 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.indiasurgeons.com /esophageal_varices.htm (565 words)

	New Page 0 (Site not responding. Last check: 2007-10-20)
		The reason may be partly mechanical, in that the pressure of the heavy womb compresses the intestine, and may be partly due to hormonal changes during pregnancy.
		Sometimes, bleeding from the esophagus or stomach caused by abnormal veins (varices) may occur and is a life-threatening emergency requiring hospitalization.
		Variceal bleeding can usually be controlled with the use of a flexible tube (endoscope) that is inserted through the mouth into the esophagus and stomach and used to inject clotting agents into the veins or to rubberband ligate the varices.
	www.frontline-hepatitis-awareness.com /gastrocorner.htm (3238 words)

	[No title]
		The subsequent inflammation of the submucosa causes erosion of the thin wall of the varices with subsequent rupture.
		As the villus epithelium of the intestine is shed, there is upper displacement and differentiation of cells generated from the undifferentiated basal epithelium.
		Gluten enteropathy or celiac disease is believed to be due to a hypersensitivity response of the intestinal mucosa to gliadin, a component of gluten, which is the major protein in wheat, rye, barley and oats.
	ramsites.net /~gneyman/gitext.htm (5634 words)

	Transplants
		Bleeding varices are a dreaded complication of cirrhosis, with the death rate approaching 30 to 50 percent.
		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.
	janis7hepc.com /transplants1.htm (11416 words)

	Portal Hypertension - Pedihepa Sokal
		Whenever a patient starts to bleed from varices, he/she should be admitted and included in a program of variceal sclerosis or ligation in order to eradicate the varices and avoid the risk of recurrent and fatal bleeding.
		If varices are not treated appropriately, recurrent bleeding is nearly systematic and will cause decompensation of the liver disease, ascitis, sepsis, renal failure, and eventually patient's death.
		There is no data concerning the use of B blockers for primary or secondary prophylaxis of bleeding in children with portal hypertension, but this approach has been demonstrated efficient in adults and is widely used in children.
	www.md.ucl.ac.be /pedihepa/portalHT.htm (982 words)

	The Cirrhosis File: Latest Research
		BACKGROUND/AIMS: Esophageal variceal hemorrhage is a severe complication of liver cirrhosis, and therapy for acute bleeding and prevention of hemorrhage are important.
		Previous variceal bleeding were confirmed by endoscopy in all patients who had recurrent variceal bleeding despite treatment with beta-blockers (three patients) or endoscopic sclerotherapy +/- band ligation (seven patients).
		Indications for the procedure are primarily variceal bleeding resistant to conventional pharmacologic and endoscopic treatment.
	ssl.adgrafix.com /users/lifestag/cirrhosis/latest.html (14857 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 (691 words)

	Duodenal Varices Causing Massive Lower
		The afferent vessel of the duodenal varices is the superior or inferior pancreaticoduodenal vein originating in the portal vein trunk or superior mesenteric vein.
		Endoscopic evidence of duodenal varices in patients with portal hypertension is uncommon, although paraduodenal varices could be demonstrated angiographically in a high percentage (43%) of these patients.
		Absence of disseminated intravascular coagulation with endoscopic sclerosis of esophageal varices.
	www.kfshrc.edu.sa /annals/195/99-099.html (2020 words)

	The Role of Endoscopic Sclerotherapy (Site not responding. Last check: 2007-10-20)
		Injection sclerosis of esophageal varices that have never bled (prophylactic sclerosis) has been suggested in the hope of eliminating the serious consequences of the initial bleeding event.
		Recurrent bleeding from varices during the same hospitalization calls for surgical consultation and a second or even a third attempt at emergency sclerosis.
		Varices recur in a significant percentage of patients.
	www.sages.org /sg_asgepub1019.html (945 words)

	Management of bleeding varices
		The approach to the rational management of various upper GI disorders would differ depending on the aetiology and therefore blind therapy purely on clinical assessment could be inappropriate in many occasions resulting in unnecessary costs with high morbidity and mortality without altering long-term complications of the disease.
		Endoscopic variceal band ligation which was introduced by Stiegmann in mid 1980s to treat oesophegeal varices is equally effective as sclerotherapy in controlling active bleeding
		Variceal obstruction with cyanoacrylate tissue adhesive had been used successfully and most studies have achieved control of bleeding in almost 100% of patients.
	www.medinet.lk /journals/ccp/vol-33-no11/management.htm (2158 words)

	Superior mesenteric vein stenosis complicating Crohn's disease -- Hodgson et al. 45 (3): 459 -- Gut
		Varices are also seen crossing the ileocolic anastomosis (arrowhead).
		In Crohn's disease, angiography of the small intestine is abnormal in over 90% of cases.
		Fallis L. Massive intestinal hemorrhage in regional enteritis.
	gut.bmjjournals.com /cgi/content/full/45/3/459 (1653 words)

	the GASTROLAB Gastrointestinal Encyclopedia
		Sengstaken-Blakemore tube A balloon-like instrument used as a tamponade of bleeding from oesophageal varices.
		William Beaumont made thorough physiological observations concerning the anatomy och physiology of the stomach from 1825 to 1834, actually the first studies of digestion and movements of the stomach with the stomach in situ.
		Typical stomas are colostomy, an opening between colon and the body surface, and ileostomy, on opening between the distal small bowel and the body surface.
	www.gastrolab.net /dictes.htm (1619 words)

	Emergency Medicine
		Peptic ulcer disease secondary to Helicobacter pylori, NSAID use, increased gastric or duodenal acidity, or stress is a common cause of upper GI bleeding, accounting for 25% to 50% of cases.
		Esophageal or gastric varices that develop from sustained portal hypertension may be responsible for up to 15% of upper GI bleeds.
		Vitamin K is also useful in these patients, whose risk of variceal bleeding is exacerbated by their underlying coagulopathy.
	www.emedmag.com /html/pre/gic/consults/101505.asp (2602 words)

	Últimas novedades por revista
		The aim of this study was to detect the influence of variceal eradication on portal hypertensive gastropathy (PHG) and fundal varices and to compare the results of two therapeutic methods (endoscopic variceal ligation and endoscopic sclerotherapy)...
		We report the case of a 60-year-old Hispanic woman with cryptogenic cirrhosis who was referred for a liver transplant evaluation and subsequently developed progressive dysphagia to both solids and liquids as well as substernal chest pain and weight loss.
		Endoscopy revealed the presence of grade I esophageal varices and large fundic varices, as well as retained liquid and solid food in the distal esophagus...
	www.lasalud.com /busquedas/buscar_por_revista.htm?revi=923 (1609 words)

	5
		Surgical Diversion of the Intestinal Tract, including colostomy or ileostomy, are not listed since they do not represent impairments which preclude all work activity if the individual is able to maintain adequate nutrition and function of the stoma.
		Esophageal Varices (demonstrated by X-ray or endoscopy) with a documented history of massive hemorrhage attributable to these varices.
		Persistent or recurrent intestinal obstruction evidenced by abdominal pain, distention, nausea, and vomiting and accompanied by stenotic areas of small bowel with proximal intestinal dilation; or
	home.att.net /~c-d.venable/listing_5.htm (846 words)

	Immunisation Advisory Centre (IMAC) NZ
		I had intestinal varices and they had erupted.
		It usually happened in the middle of the night so again you are very reliant on friends and I was full time teaching so it did disrupt the school and this happened several times.
		I can remember in August I was in Auckland Hospital being assessed for having the veins, the varices treated internally by injecting them with what I used to call concrete and the next time they did it, it caused another bleed to start so they gave up that game.
	www.immune.org.nz /print.asp?t=774 (2189 words)

	TRANSJUGULAR TRANSHEPATIC PORTOSYSTEMIC SHUNTS IN THE TREATMENT OF PORTAL HYPERTENSION (Site not responding. Last check: 2007-10-20)
		Oesophageal and variceal bleeding are the leading causes of death in patients with portal hypertension.
		Fig.1: Schematic representation of TIPS procedure: (a) Cannula inserted into the hepatic vein from a jugular approach; (b) Needle advanced through the liver parenchyma, to enter the portal vein; (c) Parenchymal tract dilated with an angioplasty balloon; (d) Stend deployed within the tract, connecting the portal vein to the hepatic vein.
		Transjugular intrahepatic portosystemic shunt versus endoscopic sclerotherapy for the prevention of variceal bleeding in cirrhosis: a randomised multicenter trial.
	www.bhj.org /journal/2002_4404_oct/therap_601.htm (4136 words)

	Therapeutic Foods
		Complementary indications:gall bladder affections, diarrhea, hepatitis, gingivitis, uremia, paradontolysis, colitis, malignant tumor ulcer, bed wounds, mental deficiency in children, varicous ulcers, osteoporosis, leukorrhea, herpes, vaginitis.
		Indications:Liver affections (blood stasis, preminent veins on chest & abdomen, varices, indigestion, constipation, dizziness, abnormal stools) Gall bladder affections (nausea, flatulences, jaundice, intolerance to lipids) Malfunction of the metabolism of cholesterol (atherosclerosis, hypercholterolemia) Hypoglycema Hypothyroidism Psoriasis Can be used alone or with Betacol.
		Complementary indications:albuminuria, bronchitis, uremia, emphysema, hypo/hypertension, pneumonia, tooth decay, lumbago, osteoporosis, sinusitis, gum troubles, tonsilitis, atherosclerosis, hemorrhoids, varicous ulcers, leukopenia, intermittent claudication, angina, phlebitis, mycarditis, varices, dematitis, eczema, psoriasis, amenorrhea, vaginitis, leukorrhea, prostatis.
	home.cogeco.ca /~rgrabreck/store/template8.html (3549 words)

	Quality Improvement Guidelines for Transjugular Intrahepatic Portosystemic Shunts -- Haskal et al. 14 (9): 265 -- ...
		A randomized trial comparing transjugular intrahepatic portosystemic stent-shunt with variceal band ligation in the prevention of rebleeding from esophageal varices.
		Transjugular intrahepatic portosystemic shunt versus endoscopic sclerotherapy for the prevention of variceal rebleeding after recent variceal hemorrhage.
		The transjugular intrahepatic portosystemic stent-shunt procedure for variceal bleeding.
	www.jvir.org /cgi/content/full/14/9/S265 (2946 words)

	Quality Improvement Guidelines for Transjugular Intrahepatic Portosystemic Shunts -- Haskal et al. 12 (2): 131 -- ...
		is determined by prompt arrest of acute variceal hemorrhage.
		Jalan R, Forrest EH, Stanley AJ, et al.A randomized trial comparing trans-jugular intrahepatic portosystemic stent-shunt with variceal band ligation in the prevention of rebleeding from esophageal varices.
		Haskal ZJ, Scott M, Rubin RA, Cope C. Intestinal varices: treatment with the transjugular intrahepatic portosystemic shunt.
	www.jvir.org /cgi/content/full/12/2/131 (3118 words)

	Esophageal Varices Encyclopedia Articles @ NaturalResearch.org (Natural Research) (Site not responding. Last check: 2007-10-20)
		Esophageal Varices Encyclopedia Articles @ NaturalResearch.org (Natural Research)
		Find More Information about "Esophageal varices" in NaturalResearch.org's:
		"Esophageal varices" results in these other popular encyclopedia sites:
	www.naturalresearch.org /encyclopedia/Esophageal_varices (490 words)

	ENDOSCOPIC MANAGEMENT OF LOWER GASTROINTESTINAL BLEEDING
		The initial evaluation should entail the consideration of lesions that are easily overlooked, such as watermelon stomach, vascular ecstasia, Dieulafoy's vascular malformation, gastric and small intestinal varices, diverticula, aortoenteric fistulas, haemobilia, haemosuccus pancreaticus, Meckels' diverticulum.
		Capsule endoscopy provides good views from mouth to colon and more so images small intestinal pathologies, which are difficult to pick up by other endoscopic techniques.
		Obscure bleeding in the gastrointestinal tract originating in the small intestine.
	www.bhj.org /journal/2002_4404_oct/therap_535.htm (2018 words)

	CAS CLASSES EN DIGESTIF
		ARTERIOVENOUS MALFORMATIONS [1] : angioma, gastrointestinal tract, arteriovenous malformations, hepatic, arteriovenous malformations, intestinal
		CROHN [1] : colitis, granulomatous,intestines, ct, intestines, crohn
		DIAGNOSIS [1] : lymphoma, ct,lymphoma, diagnosis, intestines, neoplasms
	www.med.univ-rennes1.fr /cerf/iconocerf/idx/D (979 words)

	OCCULT BLOOD, STOOL
		Other tuberculosis of intestines and mesenteric glands, tubercle bacilli not found (in sputum) by microscopy, but found by bacterial culture
		Other tuberculosis of intestines and mesenteric glands, tubercle bacilli not found by bacteriological or histological examination, but tuberculosis confirmed by other methods (inoculation of animals)
		Neoplasm of uncertain behavior of stomach, intestines, and rectum
	labmed.ucsf.edu /LabMan/LMRPweb/OCCB.html (1999 words)

	Gastrointestinal Pathology Index
		Carcinoid tumor of small intestine, low power microscopic
		Carcinoid tumor of small intestine, high power microscopic
		Celiac sprue compared to normal small intestine, low power microscopic
	www-medlib.med.utah.edu /WebPath/GIHTML/GIIDX.html#11 (130 words)

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