String of Pearls - Presence of Varices of the Esophagus

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added:
13 years ago
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3554
specialty:
Gastroenterology

Case description

Portal hypertension must be present with pressures more of 12 mm Hg or greater in order for varices to develop. However the level of pressure elevation does not correlate with the risk of rupture. Nonbleeding esophageal varices are asymptomatic. Rarely they are detected incidentally, but in most cases they are found during the work-up of liver diseases and occasionally in patients with acute upper gastrointestinal bleeding. Bleeding. The most serious complication of esophageal varices is acute bleeding. Approximately 30% of all patients with varices have an episode of variceal bleeding. The mortality rate is 30− 40%. The risk of rebleeding after an initial bleeding episode is 70%.

tags: esophagus endoscopy varices string of pearls

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