Doctor insights on:
Death And Bleeding Esophageal Varices
Location: Both areas represent collateral circulation between the portal system (think guts) and the systemic circulation. Increased flow in these areas leads to enlargement of the veins and the problems listed. Both may be a sign of problem in the portal system, or may be isolated problems. Further history, examination and testing is needed to know more. ...Read moreSee 1 more doctor answer
Bleeding varices BAD: There is a mortality rate of 30-50% with the first episode of upper GI bleeding from esophageal varices. Two thirds of these patients die within 1 year. Most patients with varices have cirrhosis, 40% dying from associated medical problems. About a quarter to a third of cirrhosis patients bleed at least once from varices. Many therapeutic and preventative options exist--get to a GI doctor asap. ...Read moreSee 2 more doctor answers
Banding: Esophageal varices are treated with endoscopic banding, a procedure (semi invasive) that ties the varices in the esophagus that prevents them from bleeding. Sclerotherapy (injecting a substance that will cause obliteration of a varix) is another option, but is less frequently used. Anti-acid therapy with acid reducers is added as well. ...Read moreSee 1 more doctor answer
No: The varices are another route of blood return to your heart due to liver scarring or blockage of the blood that should enter the liver from the GI tract. There is no good way to correct that save for liver transplantation. The problem with varices is bleeding and there are procedures done to deal with the bleeding and to minimize the risk. ...Read more
Location: Both arise in the same disease processes, probably depending on minor details of the patient's anatomy. Increase in portal venous pressure in the liver causes dilation of normally very small venous channels to relieve the pressure difference between the portal and systemic veins. These vessels are very thin-walled and easily bleed, which can be catastrophic. ...Read moreSee 2 more doctor answers
Esophageal varices: Esophageal varices themselves do not cause weight gain. Often times, it is a sign of liver dysfunction (portal hypertension). Following a low salt diet will help reduce any weight gain from fluid retention. Discuss with your doctor about diuretics which can also control your body's fluid balance. ...Read more
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