Gastric varices | gastric varices中文
Gastric varices are dilated submucosal veins in the lining of the stomach, which can be a life-threatening cause of bleeding in the upper gastrointestinal tract.GastricvaricesFromWikipedia,thefreeencyclopediaJumptonavigationJumptosearchThisarticledoesnotciteanysources.Pleasehelpimprovethisarticlebyaddingcitationstoreliablesources.Unsourcedmaterialmaybechallengedandremoved.Findsources: "Gastricvarices" – news ·newspapers ·books ·scholar ·JSTOR(January2008)(Learnhowandwhentoremovethistemplatemessage)GastricvaricesIsolatedgastricvaricesofSarinclassificationIGV-1seenongastroscopyinapatientwithportalhypertensionSpecialtyGastroenterologyHematologySymptomsvomitingbloodpassingblackstoolComplicationsInternalbleeding,hypovolemicshock,cardiacarrestGastricvaricesaredilatedsubmucosalveinsintheliningofthestomach,whichcanbealife-threateningcauseofbleedingintheuppergastrointestinaltract.Theyaremostcommonlyfoundinpatientswithportalhypertension,orelevatedpressureintheportalveinsystem,whichmaybeacomplicationofcirrhosis.Gastricvaricesmayalsobefoundinpatientswiththrombosisofthesplenicvein,intowhichtheshortgastricveinswhichdrainthefundusofthestomachflow.Thelattermaybeacomplicationofacutepancreatitis,pancreaticcancer,orotherabdominaltumours,aswellashepatitisC.Gastricvaricesandassociatedbleedingareapotentialcomplicationofschistosomiasisresultingfromportalhypertension.Patientswithbleedinggastricvaricescanpresentwithbloodyvomiting(hematemesis),dark,tarrystools(melena),orrectalbleeding.Thebleedingmaybebrisk,andpatientsmaysoondevelopshock.Treatmentofgastricvaricescanincludeinjectionofthevariceswithcyanoacrylateglue,oraradiologicalproceduretodecreasethepressureintheportalvein,termedtransjugularintrahepaticportosystemicshuntorTIPS.Treatmentwithintravenousoctreotideisalsousefultoshuntbloodflowawayfromthestomach'scirculation.Moreaggressivetreatmentincludingsplenectomy(orsurgicalremovalofthespleen)orlivertransplantationmayberequiredinsomecases.Contents1Signsandsymptoms2Diagnosis2.1Classification3Tr
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