Varices is a topic covered in the 5-Minute Emergency Consult.

To view the entire topic, please or purchase a subscription.

Emergency Central is a collection of disease, drug, and test information including 5-Minute Emergency Medicine Consult, Davis’s Drug, McGraw-Hill Medical’s Diagnosaurus®, Pocket Guide to Diagnostic Tests, and MEDLINE Journals created for emergency medicine professionals. Explore these free sample topics:

Emergency Central

-- The first section of this topic is shown below --

Basics

Description

  • Increased portal venous pressure results in portal–systemic shunts.
  • Shunts at gastroesophageal junction result in fragile submucosal esophageal varices.

Etiology

  • 10–30% of all cases of upper GI bleeding
  • 90% of upper GI bleeding in patients with cirrhosis
  • Variceal hemorrhage occurs in 30% of patients with cirrhosis:
    • 50% will stop bleeding spontaneously
    • 30% mortality per episode
    • 70% have recurrent bleeding
  • In adults:
    • Cirrhosis due to alcoholism or chronic hepatitis
    • Storage disease: Wilson or hemochromatosis
    • Middle East: Schistosomiasis
  • In children:
    • Intrahepatic obstruction from biliary cirrhosis
    • Biliary atresia
    • Cystic fibrosis
    • β-antitrypsin deficiency
    • Hepatitis

-- To view the remaining sections of this topic, please or purchase a subscription --

Citation

* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Varices ID - 307322 Y1 - 2016 PB - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307322/all/Varices ER -