Beyond the scope and the glue: update on evaluation and management of gastric varices.

ABSTRACT: Gastric varices are encountered less frequently than esophageal varices. Nonetheless, gastric variceal bleeding is more severe and associated with worse outcomes. Conventionally, gastric varices have been described based on the location and extent and endoscopic treatments offered based on these descriptions. With improved understanding of portal hypertension and the dynamic physiology of collateral circulation, gastric variceal classification has been refined to include inflow and outflow based hemodynamic pathways. These have led to an improvement in the management of gastric variceal disease through newer modalities of treatment such as endoscopic ultrasound-guided glue-coiling combination therapy and the emergence of highly effective endovascular treatments such as shunt and variceal c

SUBMITTER: Philips CA 

PROVIDER: S-EPMC7602314 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature