Clinical Observations on 100 Cases of Gastric Varicies

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One hundred cases of gastric varicies that were seen in our department and affiliated hospitals have been analyzed as to incidence of gastric varix among liver cirrhosis, cirrhosis plus hepatoma and idiopathic portal hypertension, the best technique for demonstrating the varix in barium swallow study, the relationship to esophageal varix and splenic portographic findings and the endoscopic findings.The incidence of gastric varix among portal hypertension was about 60%, higher han that of esophageal varix, and 90% of patients with idiopathic portal hypertension had gastric varicies. One quarter of gastric varicies were not accompanied with esophageal varicies, whereas only 10% of the esophageal varicies were without gastric varicies. There was no correlation in the degree of varicies between the two locations. The splenoportographic studies revealed that the coronary and the short gastric veins are responsible for gastric varicies, and the route through the left renal to the inferior vena cava is the major collateral after the varicies in patients without esophageal varicies. The endoscopically, the gastric varicies reveal themselves as smooth surfaced tense elevations, winding, nodular or branching.There was no clear difference in the liver functions or physical examination findings between patients with portal hypertension having gastric varicies and not having them.It is concluded that gastric varicies are not infrequently seen in portal hypertension and careful barium examination with certain technique and splenoportography are desirable in detecting gastric varicies, a prerequisite for operative management.
財団法人日本消化器病学会の論文

Clinical Observations on 100 Cases of Gastric Varicies

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