Endoscopic findings of bleeding esophagogastric varices.
OBJECTIVE
Endoscopic findings of bleeding gastric and esophageal varices were compared.


METHODS
Seventy patients with first bleeding esophagogastric varices without prior treatments were treated: 47 patients had bleeding esophageal varices (EV group), 11 patients had bleeding cardiac varices (CV group), and 12 patients had bleeding cardiofundic or fundic varices (FV group).


RESULTS
The red color sign was more common in the EV group (45 patients) than in the CV group (4 patients) or FV group (no patients) (P < 0.0001); Mucosal erosion over the varices at the site of bleeding was more common in the CV group (9 patients, P < 0.0005) and FV group (12 patients, P < 0.0001) than in the EV group (12 patients). An ulcer at the bleeding point was more common in the CV group (7 patients, P < 0.01) and FV group (10 patients, P < 0.0001) than in the EV group (11 patients). Gastric ulcer was more common in the CV group (7 patients, P < 0.05) and FV group (10 patients, P < 0.001) than in the EV group (14 patients). Erosive gastritis was more frequent in the FV group (12 patients, P < 0.02) than in the EV group (30 patients).


CONCLUSIONS
Violation of the mucosa barrier overlying gastric varices, especially cardiofundic or fundic varices, might be an important step leading to variceal hemorrhage.
Yoshida
Hiroshi
H
First Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan. yoshidahiroshi/surg1@nms.ac.jp
Onda
Masahiko
M
Tajiri
Takashi
T
Mamada
Yasuhiro
Y
Taniai
Nobuhiko
N
D000368:Aged; D016145:Endoscopy, Digestive System; D004932:Esophageal and Gastric Varices / Q000175:diagnosis*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged