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©2008 The WJG Press and Baishideng.
World J Gastroenterol. Jan 21, 2008; 14(3): 448-453
Published online Jan 21, 2008. doi: 10.3748/wjg.14.448
Published online Jan 21, 2008. doi: 10.3748/wjg.14.448
Table 1 Clinical characteristics of patients and profile of varices in GRS (+) and GRS (-) groups n (%)
GRS (+) | GRS (-) | P | |
(n = 79) | (n = 15) | value | |
Age: yr (range) | 61.9 ± 10 (42-80) | 61.5 ± 10 (44-76) | NS |
Gender (Male:Female) | 1:0.58 | 1:0.5 | NS |
Child-Pugh classification | |||
A | 47 (59.5) | 6 (40) | NS |
B | 28 (35.4) | 8 (53.3) | NS |
C | 4 (5.1) | 1 (6.7) | NS |
Endoscopic featres of GV | |||
Form | |||
F2 | 27 (34.1) | 5 (33.3) | NS |
F3 | 52 (65.8) | 10 (66.7) | NS |
Location | |||
Lgf | 12 (15.2) | 4 (26.7) | NS |
Lgcf | 67 (84.8) | 11 (73.3) | NS |
Presence of red color spots | 12 (15.2) | 2 (13.3) | NS |
History of GV bleeding | 20 (25.3) | 3 (20) | NS |
Finding of CD-EUS | |||
Blood vessel diameter (mm) | 9.5 ± 3.4 | 6.7 ± 2.8a | 0.009 |
Blood flow velocity (cm/s) | 16.5 ± 4.3 | 14.5 ± 3.5 | NS |
Blood flow volume (cm3/s) | 50.8 ± 45.0 | 26.1 ± 25.7a | 0.043 |
Table 2 Gastric fundal varices without gastro-renal shunt
Age | Sex | Form | Diameter (mm) | Verocity (cm/s) | Supplying vein | Drainage vein | Treatment |
75 | M | LgcfF2 | 6.8 | 9.3 | Rgv, Sgv | Spv | CA |
45 | M | LgcF2 | 8.8 | 15.0 | Lgv, Rgv | Spv | CA |
69 | F | LgcfF3 | 12.0 | 20.1 | Lgv | Pe | CA |
52 | M | LgcfF2 | 6.1 | 14.3 | Lgv, Sgv | Spv | CA |
67 | M | LgfF3 | 4.5 | 15.0 | Lgv, Rgv | Spv, Pcv | PTO |
66 | M | LgcfF3 | 4.7 | 18.5 | Lgv, Rgv, Sgv | Pcv | PTO |
64 | M | LgcF3 | 4.8 | 18.1 | Rgv | Spv | PTO |
65 | M | LgcfF3 | 7.2 | 10.5 | Rgv | Spv | PTO |
76 | F | LgcF2 | 3.8 | 12.0 | Lgv | Spv, Pev | PTO |
44 | F | LgcfF3 | 8.0 | 13.0 | Rgv, Lgv | Spv, Pcv | BRTO |
66 | F | LgfF3 | 11.0 | 17.7 | Rgv | Spv | BRTO |
54 | M | LgfF3 | 10.0 | 17.7 | Lgv | Spv | BRTO |
52 | M | LgfF3 | 6.0 | 15.6 | Lgv, Rgv, Sgv | Spv, Pcv | BRTO |
64 | M | LgcfF3 | 4.4 | 12.4 | Sgv | Spv | BRTO |
63 | M | LgcF2 | 2.0 | 8.9 | Lgv | Spv | BRTO |
Table 3 Treatment methods and recurrence rate of varices in GRS (-) group n (%)
GRS (-) | n= 15 | P value |
Treatment | ||
BRTO | 6 (40) | NS |
PTO | 5 (33) | NS |
CA | 4 (27) | NS |
Early recurrence rate within 6 mo | ||
BRTO | 1 (16.7) | |
PTO | 2 (40) | |
CA | 2 (50) |
- Citation: Kameda N, Higuchi K, Shiba M, Kadouchi K, Machida H, Okazaki H, Tanigawa T, Watanabe T, Tominaga K, Fujiwara Y, Nakamura K, Arakawa T. Management of gastric fundal varices without gastro-renal shunt in 15 patients. World J Gastroenterol 2008; 14(3): 448-453
- URL: https://www.wjgnet.com/1007-9327/full/v14/i3/448.htm
- DOI: https://dx.doi.org/10.3748/wjg.14.448