Gastrointestinal varices other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Syed Hassan A. Kazmi BSc, MD [2]

Overview

Upper endoscopy may be helpful in the diagnosis of gasteroesophageal varices. Findings on an upper endoscopy diagnostic of esophageal varices include visible submucosal tortuous veins, congested veins without compression during air insufflation, and grape-like varicose veins that may occlude the lumen. Three dimensional portal venography may be helpful in the diagnosis of gasteroesophageal varices. Findings on a portal venography diagnostic of esophageal varices include reverse flow in porto-systemic shunts, collateral veins draining into inferior vena cava (IVC), and other collateral veins.

Other Imaging Findings

Esophageal varices-By Samir, via Wikimedia Commons[1]
Gastric varices-By Jeremias (Own work), via Wikimedia Commons[2]
Venography Source:Open-i[3]
Venography-Case courtesy of Dr Omar Bashir, via radiopaedia.org[4]

Upper endoscopy









Three dimensional portal venography








References

  1. <"https://commons.wikimedia.org/wiki/File%3AEsophageal_varices_-_wale.jpg">via Wikimedia Commons
  2. <"https://commons.wikimedia.org/wiki/File%3AGastric_Varices.jpg">via Wikimedia Commons
  3. "(A) Angiographic portography revealed portal vein, coro | Open-i". 
  4. Radiopaedia.org. From the case <"https://radiopaedia.org/cases/16761">rID: 16761
  5. Abby Philips C, Sahney A (2016). "Oesophageal and gastric varices: historical aspects, classification and grading: everything in one place.". Gastroenterol Rep (Oxf). 4 (3): 186–95. PMC 4976684Freely accessible. PMID 27324725. doi:10.1093/gastro/gow018. 
  6. Thakeb F, Salem SA, Abdallah M, el Batanouny M (1994). "Endoscopic diagnosis of gastric varices". Endoscopy. 26 (3): 287–91. PMID 8076547. doi:10.1055/s-2007-1008969. 
  7. Agarwal A, Jain M (2008). "Multidetector CT portal venography in evaluation of portosystemic collateral vessels.". J Med Imaging Radiat Oncol. 52 (1): 4–9. PMID 18373819. doi:10.1111/j.1440-1673.2007.01903.x. 
  8. Kang HK, Jeong YY, Choi JH, Choi S, Chung TW, Seo JJ; et al. (2002). "Three-dimensional multi-detector row CT portal venography in the evaluation of portosystemic collateral vessels in liver cirrhosis.". Radiographics. 22 (5): 1053–61. PMID 12235335. doi:10.1148/radiographics.22.5.g02se011053. 



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