Studies on treatment for gastric varices hased on the endoscopic aspects and the location.

Suzuki, Shu-Ichiro; Kiriyama, Seiichi; Yamada, Akira; Shimazaki, Kunihiko; Yamagishi, Huminori; Shimoda, Mitsuyoshi; Shirosaki, Isao; Kushibuchi, Touichi; Sakamoto, Takashi; Yamashita, Yoshiro; Karaki, Yoshiaki; Tazawa, Kenji; Hujimaki, Masao

doi:10.5833/jjgs.23.2735

Cited by 2 publications

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“…However, nothing is known about assessing the bleeding risk or deciding on the treatment indication for prophylactic cases of solitary gastric varices [3,8,11,15,17,20]. However, nothing is known about assessing the bleeding risk or deciding on the treatment indication for prophylactic cases of solitary gastric varices [3,8,11,15,17,20].…”

Section: Treatment Of Solitary Gastric Varicesmentioning

confidence: 99%

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Selection of the treatment for esophagogastric varices

et al. 1992

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In 57 cases with portal hypertensive disease, we investigated the intramural and extramural structure of the stomach and the esophagus by endoscopic ultrasonography (EUS). Variously developed intra- and extramural vascular structures had a relationship to the endoscopic variceal form, and communicating (inflow) vessels to varices were found in 28 of the 43 primary cases treated (65%). We then classified the esophagogastric varices into three types according to the vascular structure, such as the esophageal type, esophagogastric type, and solitary gastric type. Based on the analysis of these collateral structures, we selected the treatment as follows. In the esophageal type, which has a few inflow vessels, it is easy to eliminate the varices by obturating the inflow vessels by endoscopic injection sclerotherapy (EIS). In the esophagogastric type, which has many enlarged inflow vessels, the Hassab operation is effective in devascularizing the extramural inflow vessels, and the combination of EIS is necessary to sclerose the intramural varices. In the solitary gastric type, which is a part of the downward portosystemic shunt, the Hassab operation is recommended to prevent rupture of the varices for the subtype with intramural running vessels, but conservative therapy is enough for the subtype without.

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Section: Treatment Of Solitary Gastric Varicesmentioning

confidence: 99%

“…There has recently been some evidence that the treatment should primarily be based on the condition of the collateral circulation [2,4,15,17]. There is the original disease or hepatic function, and there is the treatment factor such as devascularization in direct surgery or this technique in EIS.…”

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confidence: 99%