Are Downhill Varices an Overlooked Entity of Upper Gastrointestinal Bleedings?

Gastroenterology Research and Practice
M A AyvazH D Allescher

Abstract

Downhill varices are not so safe as thought and can lead to life-threating or mortal bleeding complication, even if rare. In order to draw attention to this topic, we analysed 129 patients. We evaluated the electronic endoscopy data records of all patients undergoing upper gastrointestinal endoscopy over a nine-year period from January 2004 till December 2012, within a retrospective approach. The primary endpoints, incidence, causes, kind of resulting upper gastrointestinal bleeding, and the severity of the bleeding were evaluated. Secondary endpoints were the evaluation of the size of downhill varices and a comparison of the risk of bleeding between downhill varices and uphill varices. Downhill varices were identified, described, and/or documented in 129 patients of 25,680 upper gastrointestinal endoscopies. 26 patients had central venous catheter or port implantation, 22 patients had a history of an implantation of a cardiac pacemaker, 7 patients had severe pulmonary artery embolism, and 4 patients had severe chronic obstructive pulmonary disease. Two patients had mediastinal tumors, and one patient had a large retrosternal goiter as a possible cause of the vena cava syndrome. Altogether, 62 patients were related to a vena ca...Continue Reading

References

Jan 1, 1988·Scandinavian Journal of Thoracic and Cardiovascular Surgery·T ShirakusaM Okazaki
Jan 30, 2004·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Yung-Hsuen HsuDong-Ming Tsai
Sep 2, 2006·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·M AreiaD Freitas
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Mar 19, 2016·Case Reports in Critical Care·Lam-Phuong NguyenChristian Sandrock
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BETA
nuclear magnetic resonance

Software Mentioned

SPSS
- Win - Data - System
Clinic

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