Esophageal Varices and Bleeding 食道靜脈曲張及出血. 2016-11-09. Introduction. Liver cirrhosis can cause portal hypertension, which is unusually elevated in ...醫療新知首頁>醫療新知>衛教文章首頁>醫療新知>衛教文章衛教文章衛教影片最新消息最新消息媒體報導門診時間星期一至星期五週六及例假日休息上午08:30～12:00下午13:30～17:00人工掛號+886-4-2205-6631語音預約+886-4-2201-2051、2052、2053+886-4-2201-2060、2061網路掛號點此衛教文章EsophagealVaricesandBleeding食道靜脈曲張及出血2016-11-09IntroductionLivercirrhosiscancauseportalhypertension,whichisunusuallyelevatedinportal-venouspressure.Manycomplicationscanberesultedfromportalhypertensionandthemostfrequentoneisesophagealvaricealbleeding. DefinitionandPathogenesisLivercirrhosisisthemostcommoncauseofesophagealvaricealbleeding.Commonly,normalpressureintheportalveinisapproximately5-10mmHg.Whenportalhypertensionis>12mmHg,itcanresultincollateralflow,esophagealvarices,andhyperactivityofvisceralvenoussystem.Itmostcommonlyresultsfromincreasedresistancetoportalbloodflow. ClinicalfeaturesandDiagnosisItisnotnecessarilytohaveruptureandhemorrhageoccurredinpatientswithesophagealvarices.Oncethereisbleeding,itusuallypresentswithhematemesis,melena,tarrystoolorevenbloodystool.Additionally,therecouldbeassociatedsignsrangingfrommildposturaltachycardiaandunstablebloodpressuretoprofoundshock,dependingontheextentofbloodlossanddegreeofhypovolemia. Diagnosisisessentialaccordingtothefindingofendoscopicexaminationandwhetherthereisacirrhosishistorybefore.Endoscopyisthebestapproachtoevaluateuppergastrointestinalhemorrhageinpatientswithknownorsuspectedportalhypertension. Inpatientswithknownliverdisease,thedevelopmentofportalhypertensionisusuallyrevealedbytheappearanceofsplenomegaly,ascites,encephalopathy,and/oresophagealvarices.Commonly,thefindingofanyofthesefeaturesshouldpromptevaluationofthepatientforthepresenceofunderlyingportalhypertensionandliverdisease. TreatmentTreatmentincludesnon-surgicalandsurgicalintervention. non-surgicalintervention:vasoconstrictors:likepitressinandsomatostatin.Acutetreatmentwiththesemedicationsmayhelpcontrolacutevaricealbleeding.balloo

Varices are dilated veins in the distal esophagus or proximal stomach caused by elevated pressure in the portal venous system, typically from cirrhosis.MerckManualPleaseconfirmthatyouareahealthcareprofessionalYesNoLeavethisSite?Thelinkyouhaveselectedwilltakeyoutoathird-partywebsite.Wedonotcontrolorhaveresponsibilityforthecontentofanythird-partysite.ContinueCancelHOMEMEDICALTOPICSCommonHealthTopicsCardiovascularDisordersClinicalPharmacologyCriticalCareMedicineDentalDisordersDermatologicDisordersEar,Nose,andThroatDisordersEndocrineandMetabolicDisordersEyeDisordersGastrointestinalDisordersGenitourinaryDisordersGeriatricsGynecologyandObstetricsHematologyandOncologyHepaticandBiliaryDisordersImmunology;AllergicDisordersInfectiousDiseasesInjuries;PoisoningMusculoskeletalandConnectiveTissueDisordersNeurologicDisordersNutritionalDisordersPediatricsPsychiatricDisordersPulmonaryDisordersSpecialSubjectsResourcesVideosFiguresImagesQuizzesViewAllResourcesRESOURCES3DModelsAbbreviationsLabTestsAudioCaseStudiesClinicalCalculatorsConversionTablesFiguresImagesLabValuesPodcastsQuizzesTablesVideosDRUGINFODrugsbyName,GenericandBrandPillIdentifierCommonlySearchedDrugsAlbuterolFLUoxetineHeparinMetFORMINDoxycyclineOmeprazoleNEWSViewAllNews>ViewAllNews>PROCEDURESTheVaginalExaminLaborUterineCompressionUterineBalloonTamponadeViewAllProcedures>ViewAllProcedures>QUIZZES&CASESQuizzesMoreQuizzesCasesMoreCaseStudiesABOUTOverviewHistoryEditorsandtheEditorialProcessPublishingandProductionStaffEditorialBoardContributorsReviewersContentProvidersGlobalMedicalKnowledgeFAQContactUsMedicalTopics&ChaptersABCDEFGHIJKLMNOPQRSTUVWXYZHOMEMEDICALTOPICSCommonHealthTopicsCardiovascularDisordersClinicalPharmacologyCriticalCareMedicineDentalDisordersDermatologicDisordersEar,Nose,andThroatDisordersEndocrineandMetabolicDisordersEyeDisordersGastrointestinalDisordersGenitourinaryDisordersGeriatricsGynecologyandObstetricsHematologyandOncologyHepaticandBiliaryDisordersImmunology;AllergicDisordersInfectiousDiseasesInjuries

Esophageal varices are dilated submucosal distal esophageal veins connecting the portal and systemic circulations. This happens due to ...NCBISkiptomaincontentSkiptonavigationResourcesHowToAboutNCBIAccesskeysMyNCBISignintoNCBISignOutNCBIBookshelf.AserviceoftheNationalLibraryofMedicine,NationalInstitutesofHealth.StatPearls[Internet].TreasureIsland(FL):StatPearlsPublishing;2020Jan-.StatPearls[Internet].ShowdetailsTreasureIsland(FL):StatPearlsPublishing;2020Jan-.SearchtermEsophagealVaricesMarcelleMeseeha;MaximosAttia.AuthorInformationAuthorsMarcelleMeseeha;MaximosAttia1.Affiliations1Guthrie/RPHFamilyResidencyProgramLastUpdate:August10,2020.IntroductionEsophagealvaricesaredilatedsubmucosaldistalesophagealveinsconnectingtheportalandsystemiccirculations.Thishappensdueto portalhypertension(mostcommonlyaresultofcirrhosis),resistancetoportalbloodflow,andincreasedportalvenousbloodinflow.The mostcommonfatalcomplicationofcirrhosis isvaricealrupture;theseverityofliverdiseasecorrelateswiththepresenceofvaricesandriskofbleeding.[1][2][3][4]Theportalveinhasacirculationofover1500ml/minofbloodandifthereisanobstruction,thisresultsinelevatedportalvenouspressure.Theresponseofthebodytotheincreasedvenouspressureisthedevelopmentofcollaterals.theseportosystemiccollateralsdivertbloodfromtheportalvenoussystemtotheinferiorandsuperiorvenacava.Atthesametime,oneimportantsystemisthegastroesophagealcollateralsthatdrainintotheazygosveinandleadtothedevelopmentofesophagealvarices.Whenthesevaricesgetenlarged,theyruptureproducingseverehemorrhage.BleedingfromesophagealvaricesisthethirdmostcommoncauseofupperGIbleeding,afterduodenalandgastriculcers.EtiologyCausesofportalhypertension:Prehepatic:Portalveinobstruction(EHPVO)ormassivesplenomegalywithincreasedsplenicveinbloodflowPosthepatic:Severeright-sidedheartfailure,constrictivepericarditis,andhepaticveinobstruction(Budd-Chiarisyndrome)Intrahepatic:Cirrhosisaccountsformostcasesofportalhypertension.Lessfrequentcausesareschistosomiasis,massivefattychange,disea

Varices are dilated veins in the distal esophagus or proximal stomach caused by elevated pressure in the portal venous system, typically from cirrhosis.MSDManualPleaseconfirmthatyouareahealthcareprofessionalYesNoLeavethisSite?Thelinkyouhaveselectedwilltakeyoutoathird-partywebsite.Wedonotcontrolorhaveresponsibilityforthecontentofanythird-partysite.ContinueCancelHOMEMEDICALTOPICSCommonHealthTopicsCardiovascularDisordersClinicalPharmacologyCriticalCareMedicineDentalDisordersDermatologicDisordersEar,Nose,andThroatDisordersEndocrineandMetabolicDisordersEyeDisordersGastrointestinalDisordersGenitourinaryDisordersGeriatricsGynecologyandObstetricsHematologyandOncologyHepaticandBiliaryDisordersImmunology;AllergicDisordersInfectiousDiseasesInjuries;PoisoningMusculoskeletalandConnectiveTissueDisordersNeurologicDisordersNutritionalDisordersPediatricsPsychiatricDisordersPulmonaryDisordersSpecialSubjectsResourcesVideosFiguresImagesQuizzesViewAllResourcesRESOURCES3DModelsAbbreviationsLabTestsAudioCaseStudiesClinicalCalculatorsConversionTablesFiguresImagesLabValuesQuizzesTablesVideosNEWSAdverseDrugReactionsLinkedtoHydroxychloroquineUpin2020AirPollutionMayUpRiskforAge-RelatedMacularDegenerationAspirinUseTiedtoLongerBladder,BreastCancerSurvivalBloodBiomarkerMayDetectAcuteHeartTransplantRejectionViewAllNews>ViewAllNews>PROCEDURESTheVaginalExaminLaborUterineCompressionUterineBalloonTamponadeViewAllProcedures>ViewAllProcedures>QUIZZES&CASESQuizzesMoreQuizzesCasesMoreCaseStudiesABOUTOverviewHistoryEditorsandtheEditorialProcessPublishingandProductionStaffEditorialBoardContributorsReviewersContentProvidersGlobalMedicalKnowledgeFAQContactUsMedicalTopics&ChaptersABCDEFGHIJKLMNOPQRSTUVWXYZHOMEMEDICALTOPICSCommonHealthTopicsCardiovascularDisordersClinicalPharmacologyCriticalCareMedicineDentalDisordersDermatologicDisordersEar,Nose,andThroatDisordersEndocrineandMetabolicDisordersEyeDisordersGastrointestinalDisordersGenitourinaryDisordersGeriatricsGynecologyandObstetricsHematologyandOncologyHepati

Esophageal varices are abnormal, enlarged veins in the tube that connects the throat and stomach (esophagus). This condition occurs most ...Vaccineupdates,safecareandvisitorguidelines,andtrustedcoronavirusinformation​SkiptositenavigationSkiptoContentThiscontentdoesnothaveanEnglishversion.ThiscontentdoesnothaveanArabicversion.SectionsforEsophagealvaricesSymptoms&causesDiagnosis&treatmentDoctors&departmentsPrintOverviewEsophagealvaricesOpenpop-updialogboxCloseEsophagealvaricesEsophagealvaricesEsophagealvaricesareenlargedveinsintheloweresophagus.They'reoftenduetoobstructedbloodflowthroughtheportalvein,whichcarriesbloodfromtheintestineandspleentotheliver.Esophagealvaricesareabnormal,enlargedveinsinthetubethatconnectsthethroatandstomach(esophagus).Thisconditionoccursmostofteninpeoplewithseriousliverdiseases.Esophagealvaricesdevelopwhennormalbloodflowtotheliverisblockedbyaclotorscartissueintheliver.Togoaroundtheblockages,bloodflowsintosmallerbloodvesselsthataren'tdesignedtocarrylargevolumesofblood.Thevesselscanleakbloodorevenrupture,causinglife-threateningbleeding.Anumberofdrugsandmedicalprocedurescanhelppreventorstopbleedingfromesophagealvarices.Products&ServicesBook:MayoCliniconDigestiveHealthSymptomsEsophagealvaricesusuallydon'tcausesignsandsymptomsunlesstheybleed.Signsandsymptomsofbleedingesophagealvaricesinclude:VomitinglargeamountsofbloodBlack,tarryorbloodystoolsLightheadednessLossofconsciousnessinseverecasesYourdoctormightsuspectesophagealvaricesifyouhavesignsofliverdisease,including:Yellowcolorationofyourskinandeyes(jaundice)EasybleedingorbruisingFluidbuildupinyourabdomen(ascites)WhentoseeadoctorMakeanappointmentwithyourdoctorifyouhavesignsorsymptomsthatworryyou.Ifyou'vebeendiagnosedwithliverdisease,askyourdoctoraboutyourriskofesophagealvaricesandwhatyoucandotoreduceyourrisk.Alsoaskyourdoctorwhetheryoushouldgetaproceduretocheckforesophagealvarices.Ifyou'vebeendiagnosedwithesophagealvarices,yourdoctorislikelytoinstructyoutowatchforsignsofbleeding.Bleedingesophageal

Esophageal varices are extremely dilated sub-mucosal veins in the lower third of the esophagus. They are most often a consequence of portal hypertension, ...EsophagealvaricesFromWikipedia,thefreeencyclopediaJumptonavigationJumptosearchEsophagealvaricesOthernamesEsophagealvarix,oesophagealvaricesGastroscopyimageofesophagealvariceswithprominentcherry-redspotsSpecialtyGastroenterologyHematologySymptomsvomitingbloodpassingblackstoolComplicationsInternalbleeding,hypovolemicshock,cardiacarrestCausesAlcoholismDiagnosticmethodEndoscopyEsophagealvaricesareextremelydilatedsub-mucosalveinsinthelowerthirdoftheesophagus.[1]Theyaremostoftenaconsequenceofportalhypertension,[2]commonlyduetocirrhosis.[3]Peoplewithesophagealvariceshaveastrongtendencytodevelopseverebleedingwhichleftuntreatedcanbefatal.Esophagealvaricesaretypicallydiagnosedthroughanesophagogastroduodenoscopy.[4]Contents1Pathogenesis2Histology3Prevention4Treatment5Seealso6References7ExternallinksPathogenesis[edit]Esophagealvaricessevendaysafterbanding,showingulcerationatthesiteofbandingTheuppertwothirdsoftheesophagusaredrainedviatheesophagealveins,whichcarrydeoxygenatedbloodfromtheesophagustotheazygosvein,whichinturndrainsdirectlyintothesuperiorvenacava.Theseveinshavenopartinthedevelopmentofesophagealvarices.Theloweronethirdoftheesophagusisdrainedintothesuperficialveinsliningtheesophagealmucosa,whichdrainintotheleftgastricvein,whichinturndrainsdirectlyintotheportalvein.Thesesuperficialveins(normallyonlyapproximately1 mmindiameter)becomedistendedupto1–2 cmindiameterinassociationwithportalhypertension.Normalportalpressureisapproximately9 mmHgcomparedtoaninferiorvenacavapressureof2–6 mmHg.Thiscreatesanormalpressuregradientof3–7 mmHg.Iftheportalpressurerisesabove12 mmHg,thisgradientrisesto7–10 mmHg.[5]Agradientgreaterthan5 mmHgisconsideredportalhypertension.Atgradientsgreaterthan10 mmHg,bloodflowingthroughthehepaticportalsystemisredirectedfromtheliverintoareaswithlowervenouspressures.Thismeansthatcollateralcirculationdevelo

Varices are veins that are enlarged or swollen. The esophagus is the tube that connects the throat to the stomach. When enlarged veins occur ...CORONAVIRUS:DELAYSFORROUTINESURGERIES,VISITORRESTRICTIONS+COVID-19TESTING.Home/HealthLibrary/Disease&ConditionsEsophagealVaricesEsophagealvaricesareenlargedorswollenveinsontheliningoftheesophagus.Varicescanbelife-threateningiftheybreakopenandbleed.Treatmentisaimedatpreventingliverdamage,preventingvaricesfrombleeding,andcontrollingbleedingifitoccurs.Appointments216.444.7000Appointments&LocationsContactUsEsophagealVaricesMenuOverviewDiagnosisandTestsManagementandTreatmentOutlook/PrognosisEsophagealvaricesWhatareesophagealvarices?Varicesareveinsthatareenlargedorswollen.Theesophagusisthetubethatconnectsthethroattothestomach.Whenenlargedveinsoccurontheliningoftheesophagus,theyarecalledesophagealvarices.Whoisatriskforesophagealvaricesthatbreakopenandbleed?Noteveryonewhodevelopsesophagealvariceswillhavebleeding.Factorsthatincreasetheriskforbleedinginclude:Highportalbloodpressure:Thehighertheportalpressure,thegreatertheriskofbleeding.Largevarices:Riskofbleedingincreaseswithsizeofvarices.Severeliverdisease:Advancedcirrhosisorliverfailureincreasestherisk.Ongoingalcoholconsumption:Inpatientswithvaricesduetoalcohol,continuingtodrinkincreasestheriskofbleeding.Whatcausesesophagealvarices?Theliveristheorganthatcleansestoxins(poisons)fromtheblood.Theportalveindeliversbloodtotheliver.Esophagealvaricesusuallyoccurinpeoplewhohaveliverdisease.Bloodflowthroughtheliverslowsinpeoplewhohaveliverdisease.Whenthishappens,thepressureintheportalveingoesup.Highbloodpressureintheportalvein(portalhypertension)pushesbloodintosurroundingbloodvessels,includingvesselsintheesophagus.Thesebloodvesselshavethinwallsandareclosetothesurface.Theextrabloodcausesthemtoexpandandswell.Varicesalsocandevelopinthesmallbloodvesselsintheupperpartofthestomach.Ifthepressurecausedbytheextrabloodgetstoohigh,varicescanbreakopenandbleed.Bleedingisanemergencythatrequiresurgenttreatm

(ALS) 7. 他有小腿有靜脈曲張的問題= he has varices in his calf (or lower leg) 8. 心電圖= electrocardiography (ECG or..Yahoo奇摩字典網頁搜尋Yahoo奇摩字典查詢詞設定首頁新聞股市購物中心超級商城拍賣TV運動設定登入網頁字典知識+圖片影片新聞購物在地生活更多依語言英漢英英Dr.eye譯典通varicesKK[ˋvɛrɪ͵siz]DJ[ˋvɛərisi:z]美式varix的名詞複數更多解釋varicesvarix的復數形PyDict知識+翻譯:馬來膜，自拍，行車紀錄器．．...(ALS)7.他有小腿有靜脈曲張的問題=hehasvaricesinhiscalf(orlowerleg)8.心電圖=electrocardiography(ECGor...醫學診斷急需翻譯^^...失敗的。

2。

隱源性肝硬化，兒童b與側支血管;脾腎靜脈分流術與肝性腦病;胃癌varice。

3。

擴張型心肌病的充血性心臟衰竭，功能。

慢性支氣管炎。

1。

胸痛...關於整型的一堆英文，老美怎麼說呢?...laser整型.plasticsurgery整骨chiropractice.磨皮dermabrasion.靜脈曲張varices.點痣moleremoval.豐唇.lipenhancement 豐頰.cheekimplant醫學美容.cosmeticsurgery...查看更多varices知識+相關結果>Yahoo奇摩服務中心建議隱私權政策(更新版)服務條款(更新版)廣告

Varices are expanded blood vessels in the esophagus, the tube that connects the mouth and stomach. Esophageal varices are a common ...