Overview of gastric varices and their treatment

Authors

DOI:

https://doi.org/10.59093/27112330.116

Keywords:

gastric varices, gastrointestinal hemorrhage, gastrointestinal endoscopy, beta-antagonists, ligation, transjugular intrahepatic portosystemic shunts.

Abstract

Gastric varices (GV) are a complex of vascular collaterals between portal and systemic circulation, a condition that develops as a result of elevated pressure in the portal venous system. They are found in 20% of patients with cirrhosis, and are less common than esophageal varices. According to the Sarin classification, GV are divided into four types based on their location in the stomach and their relationship with esophageal varices (GOV1, GOV2, IGV1, and IGV2). Understanding their hemodynamics with respect to GV drainage routes is important to guide their treatment.

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Author Biography

María Fernanda Saavedra-Chacón, Clínica CES

Médica, Especialista en Medicina Interna, Especialista en Hepatología Clínica. Clínica CES, Miembro de la Asociación Colombiana de Hepatología (ACH). Medellín, Colombia.

References

De Franchis R, Bosch J, Garcia-Tsao G, Reiberger T, Ripoll C. Baveno VII - Renewing consensus in portal hypertension. J Hepatol 2022;76:959-974. https://doi.org/10.1016/j.jhep.2021.12.022.

Kaplan DE, Ripoll C, Thiele M, Fortune BE, Simonetto DA, Garcia-Tsao G, Bosch J. AASLD Practice Guidance on risk stratification and management of portal hypertension and varices in cirrhosis. Hepatology 2024;79:1180-1211. https://doi.org/10.1097/HEP.0000000000000647.

Philips CA, Ahamed R, Rajesh S, George T, Mohanan M, Augustine A. Beyond the scope and the glue: update on evaluation and management of gastric varices. BMC Gastroenterol 2020;20:361. https://doi.org/10.1186/s12876-020-01513-7.

Luo X, Hernández-Gea V. Update on the management of gastric varices. Liver Int 2022;42:1250-1258. https://doi.org/10.1111/liv.15181.

Published

2024-05-02

How to Cite

Saavedra-Chacón, M. F. (2024). Overview of gastric varices and their treatment. Hepatología, 5(2), 172–173. https://doi.org/10.59093/27112330.116

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Section

Hepatology Snapshot
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