Gastric varices. Problem in diagnosis.

The American journal of digestive diseases ·Vol. 22 ·No. 11 ·1977-11-00 ·Pages 947-55

Marshall JP, Smith PD, Hoyumpa AM

Abstract

Gastric varices may appear in association with esophageal varices secondary to portal-hypertension or as an independent manifestation of splenic vein obstruction. Since gastric varices often manifest as radiologic filling defects in the gastric fundus or cardia, differentiation from tumors and many other diseases becomes imperative. Unfortunately, routine diagnostic pprocedures may be of limited value. The difficulties in the diagnosis of gastric varices are illustrated with three specific cases. Correct diagnosis is best established with the aid of endoscopy and such special procedures as celiac angiography or splenoportography. With the help of three cases, the characteristics of gastric varices are reviewed and their evaluation and management are outlined.

MeSH Terms

Adult Aged Barium Sulfate Gastroscopy Humans Male Middle Aged Radiography Splenic Vein Stomach/blood supply Varicose Veins/diagnostic imaging,etiology,therapy Vascular Diseases/complications

Chemicals

Barium Sulfate

Authors & Affiliations

3 authors, click to expand affiliations / ORCID

Marshall J P

Smith P D

Hoyumpa A M

References (18)

18 references, click to expand

Gastric varices.
Br J Radiol. 1948 Oct;21(250):519-22 PMID: 18885796
Splenic vein thrombosis: three cases.
Radiology. 1958 May;70(5):684-91 PMID: 13554836
Extrahepatic portal hypertension.
Major Probl Clin Surg. 1974;14 (0):243-66 PMID: 4604468
Portal embolism following thrombosis of splenic vein, and causing infarct-like cyanotic atrophy ('Zahn's infarcts') of the liver; a complication of splenectomy performed in the course of total gastrectomy.
Br J Surg. 1951 Apr;38(152):498-502 PMID: 14830785
Lift and cut biopsy technique for submucosal sampling.
Gastrointest Endosc. 1976 Aug;23(1):29-30 PMID: 964582
Diagnosis of gastric varices by conventional roentgenography as compared with splenoportal phlebography.
Acta Radiol Diagn (Stockh). 1971 Sep;11(5):506-14 PMID: 5167468
Endoscopic observations of gastric varices.
Am J Gastroenterol. 1973 Oct;60(4):357-65 PMID: 4758292
Splenic vein thrombosis, segmental portal hypertension and bleeding esophageal varices produced by a congenital pancreatic cyst.
Isr J Med Sci. 1974 Jun;10(6):670-3 PMID: 4546919
Splenoportographic changes in chronic pancreatitis.
Surgery. 1968 Apr;63(4):571-5 PMID: 5689513
Gastric varices.
Radiology. 1953 Jan;60(1):46-52 PMID: 13014296
Prophylactic portacaval anastomosis.
Medicine (Baltimore). 1972 Jan;51(1):27-40 PMID: 4536676
PSEUDOTUMORAL GASTRIC VARICES.
Am J Roentgenol Radium Ther Nucl Med. 1964 Apr;91:751-6 PMID: 14139897
Gastric varices: characteristics and clinical significance.
Gastroenterology. 1956 Nov;31(5):581-7 PMID: 13375821
Splenic vein thrombosis: a diagnosable and curable form of portal hypertension.
Surgery. 1973 Dec;74(6):961-72 PMID: 4542994
Thrombosis in the superior mesenteric and portal veins: report of a case treated with thrombectomy.
Surgery. 1974 Aug;76(2):286-90 PMID: 4843466
Clinical importance of gastric varices.
N Engl J Med. 1960 Oct 6;263:665-9 PMID: 13751585
Gastric bleeding due to splenic vein thrombosis: a report of three cases.
Can Med Assoc J. 1968 Mar 30;98(13):649-52 PMID: 5300439
Extrahepatic portal hypertension caused by chronic pancreatitis.
Ann Intern Med. 1971 Dec;75(6):903-8 PMID: 5316320

Article Info

Journal

The American journal of digestive diseases

Abbr.

Am J Dig Dis

ISSN

0002-9211

DOI

10.1007/BF01076192

Published

1977-11-00

Pages

947-55

Language

English

Region

United States

NLM ID

0404011

Subset

External Links

PubMed source DOI: 10.1007/BF01076192

Analysis Services

Gastric varices. Problem in diagnosis.

Contact

WeChat Official Account