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Portal hypertensive gastropathy (PHG) is an extremely common endoscopic finding in patients with portal hypertension. This article examines the various endoscopic grading systems that have been developed for PHG with further discussion on the risk of bleeding with PHG and if endoscopic grading...
Bleeding from esophageal varices is a common complication of cirrhosis associated with significant mortality. Endoscopic screening is recommended in selected patients with selected risk factors. Over the last 20 years, EVL using the described technique has evolved into a readily available,...
Endoscopic ultrasound (EUS) can and has been used to evaluate the portal venous system in portal hypertension. Although the portal venous system cannot be imaged in its entirety, endoscopic ultrasound can be used to image various parts of the azygous vein, splenic vein, mesenteric veins, portal...
Varices are seen in one-third of unselected patients with cirrhosis and of these approximately one-third will bleed within 2 years from the time of diagnosis. The mortality with each bleeding episode ranges from 20% to 40% depending on the severity of liver disease. Although cost-effective,...
Gastric varices are found in a significant number of patients with portal hypertension. There are several endoscopic treatment options for gastric varices, but none have gained widespread use among endoscopists. Rubber band ligation of gastric varices has been used with success in several small...
The development of esophageal and gastric varices is an important complication of portal hypertension with significant morbidity and mortality. Endoscopic variceal sclerotherapy (EVS) was the first and, for many years, the only successful endoscopic method available for the treatment of bleeding...
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