Volume : VII, Issue : VII, July - 2017

A study on Gastric and Gastroesophageal varices in a tertiary referral centre

Dr. B. Sivasubramaniam, Dr. R. Karthikeyan, Dr. E. Kandasamy Alias Kumar

Abstract :

 Aim: i.To assess the  prevalence of gastroesophageal varices in patients with portal hypertension in a tertiary referral centre ii.Characteristics of the gastric varices  iii.Natural history of gastric varices in portal hypertension. Materials and methods: It is a prospective study conducted in the department of Medical gastroenterology , Stanley Medical College, Chennai between April 2010 and October 2011 where consecutive patients with the diagnosis of cirrhosis, NCPF, EHPVO and BCS undergoing oesophagogastroduodenoscopy (OGD) scopy as a routine evaluation and for upper gastrointestinal bleeding were included. Patients with cirrhosis and NCPH are subjected to endoscopy in which if there are gastric varices, they are included in this study. Results:81 patients had gastroesophageal varices and those were taken for analysis. Mean age of the patient is 41.23 ± 15.4 years. The aetiology for the gastroesophageal varices was: Cirrhosis in 49.4%. Extrahepatic portal vein obstruction in 27.2%. Non cirrhotic portal fiosis in 23.5%. Among the 81 patients, 75 (92.6%) patients had history of upper gastrointestinal bleeding and 6 (7.4%) patients had no history of bleeding. Subsequent bleed was observed in 58% (47) . 4 (4.9%) patients had bleed in the form of melena. All other patients (77) developed hematemesis during the index bleed. Among the bleeders blood transfusion required in 87.7 %. The mean volume of units of blood given to the bleeding patients was 2.28L. The number of patients underwent surgery for the bleeding episodes were 19 (23.5%).Rectal varix was seen in only one patient. GOV 1 was the commonest type which was seen in 40% of patients. Index bleed was present in 92.6% patients and subsequent bleed was seen in 58% of patients Conclusion: Prevalence of gastroesophageal varices was low but within the range . GOV1 is relatively have a benign course and requires treatment only by sclerotherapy .Gastric varices have the potential to cause severe upper GI bleeding, its recognition is very important to manage appropriately .

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.B.Sivasubramaniam, Dr.R.Karthikeyan, Dr.E.Kandasamy alias Kumar, A study on Gastric and Gastroesophageal varices in a tertiary referral centre, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾7 | July‾2017

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