Varices are dilated veins in the distal esophagus or proximal stomach, caused by an increased portal venous pressure, typically at a liver cirrhosis. They can cause massive bleeding without causing other symptoms. The diagnosis is made by endoscopy of the upper GIT. The treatment is carried out primarily by endoscopic banding and i.v. Octreotide. Sometimes the system of a transjugular intrahepatic portosystemic shunt is required. (See also Overview of gastrointestinal…

September 3, 2018