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2008•Chinese Journal of Clinical GastroenterologyRequires access

Endoscopic Classification of Gastric Varices with Portal Hypertension

Yang Pu-fang

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Abstract

Objective To ivestigate the classfication of gastric varices in 234 patients with portal hypertension by means of endoscopy.Methods All the patients were classfied into the following types:simple esophageal varices(GOV1),esophagofundal varices(GOV2),isolated gastric varices located in the fundus(IGV1),isolated ectopic gastric varices(IGV2).Results In these 234 patients simple esophageal varices were seen in 67 patients(28.6%),GOV1 in 98 patients(41.9%),GOV2 in 46 patients(19.7%),IGV1 in 22 patients(9.4%) and IGV2 in 1 patients(0.4%).Conclusion Gastric varices are observed in more than half of the patients with portal hypertension.More attention should be paid to the clinical treatment of gastric varices in patients with portal hypertension.And endoscopic scleotherapy with tissue adhesive,ballon-occluded retrograde transvenous obilteration(B-RTO)could be feasible methods.

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Objective To ivestigate the classfication of gastric varices in 234 patients with portal hypertension by means of endoscopy.Methods All the patients were classfied into the following types:simple esophageal varices(GOV1),esophagofundal varices(GOV2),isolated gastric varices located in the fundus(IGV1),isolated ectopic gastric varices(IGV2).Results In these 234 patients simple esophageal varices were seen in 67 patients(28.6%),GOV1 in 98 patients(41.9%),GOV2 in 46 patients(19.7%),IGV1 in 22 patients(9.4%) and IGV2 in 1 patients(0.4%).Conclusion Gastric varices are observed in more than half of the patients with portal hypertension.More attention should be paid to the clinical treatment of gastric varices in patients with portal hypertension.And endoscopic scleotherapy with tissue adhesive,ballon-occluded retrograde transvenous obilteration(B-RTO)could be feasible methods.

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Available abstract

Objective To ivestigate the classfication of gastric varices in 234 patients with portal hypertension by means of endoscopy.Methods All the patients were classfied into the following types:simple esophageal varices(GOV1),esophagofundal varices(GOV2),isolated gastric varices located in the fundus(IGV1),isolated ectopic gastric varices(IGV2).Results In these 234 patients simple esophageal varices were seen in 67 patients(28.6%),GOV1 in 98 patients(41.9%),GOV2 in 46 patients(19.7%),IGV1 in 22 patients(9.4%) and IGV2 in 1 patients(0.4%).Conclusion Gastric varices are observed in more than half of the patients with portal hypertension.More attention should be paid to the clinical treatment of gastric varices in patients with portal hypertension.And endoscopic scleotherapy with tissue adhesive,ballon-occluded retrograde transvenous obilteration(B-RTO)could be feasible methods.

Key concepts: Medicine, Gastric varices, Portal hypertension, Varices, Esophageal varices, Endoscopy, Internal medicine, Gastroenterology

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