Gastrointestinal varices classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Classification

Classification of esophageal varices

The following table outlines the major classification schemes for esophageal varices, based on grades:

Classification system	Grade	Interpretation of grade
Dagradi classification	1	Blue or red discoloration of varices Become prominent on compression of esophageal wall by esophagoscope Linear/sigmoid shaped < 2 mm in diameter
	2	Bluish in color 2–3 mm in diameter Mildly tortuous or straight Elevated above the surface or the relaxed oesophagus
	3	Prominently elevated bluish veins 3–4 mm in diameter Straight or tortuous
	4	Bluish varices > 4 mm in diameter, which completely surround the oesophageal lumen and almost meet in the mid-lumen Tortuous Closely packed around the wall With or without mucosal cover
	5	Grape-like appearance Occlude the lumen of the advancing oesophagoscope Presence of small, cherry-red varices on top of a base of bluish varices
Conn's classification	I
	II
	III
	IV
Paquet’s classification	I
	II
	III
	IV
Westaby classification	1
	2
	3
	4
Soehendra classification	I
	II
	III
	IV
Calès classification	1
	2
	3