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Management of Gastric Varices with Portopulmonary Venous Anastomosis: A Combined Approach Using Percutaneous

Hiroki Satomura1, Hiroshi Yukimoto2, Naoko Hayata3

  • 1Department of Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan. h-satomura@radiol.med.osaka-u.ac.jp.

Cardiovascular and Interventional Radiology
|April 24, 2025
PubMed
Abstract

No abstract available in PubMed .

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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