Classification and management of gastric varices

ABSTRACT

In this work eighty one patients with gastric varices alone or oesophagogastric varices were included for sclerotherapy of gastric varices. Gastric varices were classified to 1- isolated gastric varices, fifty three patient 2- gastric extension twenty eight patients of them cord type included twenty five patients while the bulbous type included three patients. Gastric varices of the isolated type were injected histocary1 successfully. Gastric extension type was injected histoacry1 when presenting in active bleeding or when it is of the bulbous type. Complications were minimal in the form of recurrent bleeding, fever pleural reaction and pulmonary embolism. Recurrent gastric varices occurred in the patients during the period of follow up reaching 2 years we succeeded in controlling the bleeding in 92.85% of cases with early recurrence in 5.56% and late recurrence in 1.79% and the mortality due to rebleedig was 7.5%. this verify the crucial role of tissue adhesive in managing gastric varices