This image as well as the video clip show the Red Wale Sign Variceal appearance on endoscopy ("red signs") Red wale marks (longitudinal red streaks on varices) Cherry-red spots (red, discrete, flat spots on varices) Hematocystic spots (red, discrete, raised spots) Diffuse erythema Esophageal varices are enlarged veins in the esophagus — usually the lower part of the esophagus. They're often due to obstructed blood flow through the portal vein, which carries blood from the intestine and spleen to the liver. “Red Wale” Sign: Endoscopy of a chain of varices in the distal esophagus showing erythematous raised areas indicating an increased risk of bleeding.
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