Esophageal variciform

Esophageal variciform: Description, Causes and Risk Factors: Esophageal variciformLongitudinal venous varices at the lower end of the Esophageal variciform as a result of portal hypertension; they are superficial and liable to ulceration and massive bleeding. Increased pressure in the veins that deliver blood to the liver (known as portal hypertension) leads to the formation of esophageal variciform. The increased pressure causes blood to back up into other smaller vessels, including those of the esophagus. The medical conditions that lead to the development of esophageal variciform include: Cirrhosis.
  • Blood clots (of the splenic, portal, or hepatic veins).
  • Arterial-portal venous fistula (abnormal connections between arteries and veins in the liver or spleen).
  • Certain drugs (arsenic, azathioprine, methotrexate, and others).
  • Certain infections (for instance, schistosomiasis, a parasite).
  • Severe heart failure.
  • Tumor in pancreas.
  • Hodgkin's Lymphoma.
  • Sarcoidosis.
Risk Factors: Chronic alcohol intake.
  • Chronic vital hepatitis.
  • NSAID use.
  • Chronic hepatitis.
  • Disorders of blood clotting.
  • Certain parasitic infections.
Symptoms: Vomiting or coughing up blood. Diagnosis: Your doctor will ask about your symptoms and medical history, and perform a physical exam. Common tests may include the following: Blood tests-complete blood count, liver & kidney function tests, and coagulation tests.
  • Endoscopy-a small, flexible tube attached to a light and camera is inserted into the mouth down into the esophagus and stomach to view the source of any bleeding and swollen vessel.
  • Ultrasound -useful imaging modality to study blood flow in the portal system.
Treatment: The primary aim in treating esophageal variciform is to prevent bleeding. Bleeding esophageal variciform are life-threatening. If bleeding occurs, treatments are available to try to stop the bleeding. Medications to reduce pressure in the portal vein. A type of blood pressure drug called a beta blocker may help reduce blood pressure in your portal vein, decreasing the likelihood of bleeding.
  • If your esophageal variciform appear to have a very high risk of bleeding, your doctor may recommend a procedure called band ligation. Using an endoscope, the doctor snares the varices and wraps them with an elastic band, which essentially "strangles" the veins so they can't bleed. Esophageal band ligation carries a small risk of complications, such as scarring of the esophagus.
  • Your doctor may also recommend a procedure called transjugular intrahepatic portosystemic shunt (TIPS). The shunt is a small tube that is placed between the portal vein and the hepatic vein, which carries blood from your liver back to your heart. By providing an additional path for blood, the shunt reduces pressure in the portal vein and often stops bleeding from esophageal variciform.
  • Liver transplantation. Liver transplant is an option for people with severe liver disease or those who experience recurrent bleeding of esophageal variciform. Although liver transplantation is often successful, the number of people awaiting transplants far outnumbers the available organs.
NOTE: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.


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