Abstract

CALDERON N, Wilmer J et al. Gastric varices: a challenge for endoscopic management. Rev Col Gastroenterol [online]. 2013, vol.28, n.1, pp.65-68. ISSN 0120-9957.

Upper digestive tract bleeding due to gastric varices, although less common than bleeding secondary to esophageal varices, is one of the causes of high mortality in cirrhotic patients. Although band ligation is the optimal treatment for esophageal varices, its use for gastric varices is still hotly debated. We report the case of an elderly woman with a history of hepatic cirrhosis secondary to nonalcoholic steatohepatitis (NASH) and obesity who was admitted to the hospital with upper digestive tract bleeding. An esophagogastroduodenoscopy showed an actively bleeding subcardial varice in the gastric fundus. The decision was made to manage the bleeding with rubber band ligation. The outcome was successful outcome, and the varice had disappeared in subsequent check-ups.

Keywords : Gastric varices; bleeding; rubber band ligation.

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