Endoscopy Academies Portal

Dealing with gastric varices on call [Supporting Resource]

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  1. Gastric varices are present in approximately 20% of patients with established portal hypertension. While rarer than oesophageal variceal bleeding, gastric variceal bleeding is associated with higher mortality.
  2. First line treatment in acute bleeding is endoscopic injection therapy; where available, endoscopic ultrasound-guided injection therapy may be offered as additional or alternative haemostatic treatment. Pre-emptive TIPSS may be considered in selected patients at high risk of re-bleeding following endotherapy.
  3. In endoscopically refractory bleeding, endovascular approaches may be planned according to local expertise following venous mapping studies. We recommend a multidisciplinary approach and discussion with a specialist liver unit to guide definitive radiological treatment.

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Contributed by: Endoscopy Academies Portal
Authored by: BSG
Licence: More information on licences
Last updated: 01 August 2023
First contributed: 31 July 2023
Audience access level: Full user

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