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Endoscopy Academies Portal
Dealing with gastric varices on call [Supporting Resource]
- 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.
- 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.
- 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.
Resource details
| Contributed by: | Endoscopy Academies Portal |
| Authored by: |
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| Licence: | More information on licences |
| Last updated: | 01 August 2023 |
| First contributed: | 31 July 2023 |
| Audience access level: | Full user |
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