Gastrointestinal varices risk factors: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 7: | Line 7: | ||
==Risk Factors== | ==Risk Factors== | ||
The following are the common risk factors that lead to gastrointestinal varices:<ref name="pmid17140886">{{cite journal |vauthors=Sanyal AJ, Fontana RJ, Di Bisceglie AM, Everhart JE, Doherty MC, Everson GT, Donovan JA, Malet PF, Mehta S, Sheikh MY, Reid AE, Ghany MG, Gretch DR, Halt-C Trial Group |title=The prevalence and risk factors associated with esophageal varices in subjects with hepatitis C and advanced fibrosis |journal=Gastrointest. Endosc. |volume=64 |issue=6 |pages=855–64 |year=2006 |pmid=17140886 |doi=10.1016/j.gie.2006.03.007 |url=}}</ref> | The following are the common risk factors that lead to gastrointestinal varices:<ref name="pmid17140886">{{cite journal |vauthors=Sanyal AJ, Fontana RJ, Di Bisceglie AM, Everhart JE, Doherty MC, Everson GT, Donovan JA, Malet PF, Mehta S, Sheikh MY, Reid AE, Ghany MG, Gretch DR, Halt-C Trial Group |title=The prevalence and risk factors associated with esophageal varices in subjects with hepatitis C and advanced fibrosis |journal=Gastrointest. Endosc. |volume=64 |issue=6 |pages=855–64 |year=2006 |pmid=17140886 |doi=10.1016/j.gie.2006.03.007 |url=}}</ref> | ||
=== Development of varices === | |||
* High hepatic venous portal gradient (HPVG > 10 mm Hg) | |||
=== Progression from small to large varices === | |||
* Decompensated varices | |||
* Alcoholic cirrhosis | |||
* Red sign of endoscopy (dilated vessels on the surface of varices) | |||
=== Variceal hemorrhage === | |||
* Large varices ( > 5 mm) | |||
* Red sign | |||
* High MELD score | |||
* HVPG > 16 mmHg | |||
* Coagulopathy | |||
* Thrombocytopenia | * Thrombocytopenia | ||
* Increasing bilirubin | * Increasing bilirubin | ||
* Increased international normalized ratio (INR) | * Increased international normalized ratio (INR) | ||
* Red marks on the varices | * Red marks on the varices | ||
* Severe cirrhosis or liver failure Continued alcohol use | * Severe cirrhosis or liver failure | ||
* Continued alcohol use | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 19:21, 27 November 2017
|
Gastrointestinal varices Microchapters |
|
Differentiating Gastrointestinal varices from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Gastrointestinal varices risk factors On the Web |
|
American Roentgen Ray Society Images of Gastrointestinal varices risk factors |
|
Risk calculators and risk factors for Gastrointestinal varices risk factors |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Risk Factors
The following are the common risk factors that lead to gastrointestinal varices:[1]
Development of varices
- High hepatic venous portal gradient (HPVG > 10 mm Hg)
Progression from small to large varices
- Decompensated varices
- Alcoholic cirrhosis
- Red sign of endoscopy (dilated vessels on the surface of varices)
Variceal hemorrhage
- Large varices ( > 5 mm)
- Red sign
- High MELD score
- HVPG > 16 mmHg
- Coagulopathy
- Thrombocytopenia
- Increasing bilirubin
- Increased international normalized ratio (INR)
- Red marks on the varices
- Severe cirrhosis or liver failure
- Continued alcohol use
References
- ↑ Sanyal AJ, Fontana RJ, Di Bisceglie AM, Everhart JE, Doherty MC, Everson GT, Donovan JA, Malet PF, Mehta S, Sheikh MY, Reid AE, Ghany MG, Gretch DR, Halt-C Trial G (2006). "The prevalence and risk factors associated with esophageal varices in subjects with hepatitis C and advanced fibrosis". Gastrointest. Endosc. 64 (6): 855–64. doi:10.1016/j.gie.2006.03.007. PMID 17140886. Vancouver style error: initials (help)