Several retrospective studies have shownthat SAAG and serum albumin as probable noninvasive biochemical markers of esophageal
varices in cirrhotic patients and SAAG has been concluded an indirect biochemical marker in detecting the occurrence and grades of esophageal
varices as a n endoscopic parameter of portal hypertension.
A non-parametric statistical analysis was applied to the data, such as esophageal
varices and platelet count, which were the clinical and laboratory findings of portal hypertension, the histopathological findings, and the demographic data.
Data on safety and efficacy of N-butyl-2-cyanoacrylate in managing bleeding gastric
varices in children is scarce.15 Our main objective was to observe the safety and effectiveness of N-butyl 2-cyanoacrylate injection in bleeding gastric
varices in pediatric population and also observe its outcomes which include achievement of hemostasis, re-bleeding and complications.
Gastrointestinal endoscopic examination performed 3 months after surgery showed regression of the esophageal and fundal
varices (Figure 3a, 3b).
Then, absorbable gelatin sponge particles (Cali-Gel, Alicon) were injected through the distally placed microcatheter until the entire efferent vein,
varices, and afferent vein was visualized (Fig.
Other thresholds associated with failure to control bleeding
varices (20 mmHg), mortality from acute alcoholic hepatitis or alcoholic cirrhosis (22 mmHg), or spontaneous bacterial peritonitis (30 mmHg) have been identified in decompensated cirrhosis [15-18].
During endoscopy, gastroesophageal
varices (Sarin's GOV-2) with large gastric component (at the cardia and fundus) toward the greater curvature were visualized (Figure 1).
However, not all patients with cirrhosis have PHE; but there are several risk factors that increase the likelihood of PHE: CTP B and C, portosystemic shunts, ascites, portal thrombosis, esophageal
varices, and portal hypertensive gastropathy [6, 9].
The most common endoscopic finding was esophageal
varices, observed in more than 90% of patients.
An upper endoscopy performed in June 2017 demonstrated portal hypertensive gastropathy but no esophageal
varices.
Ranjan, "Vaginal
varices with massive hemorrhage in a patient with nonalcoholic steatohepatitis and portal hypertension: successful treatment with liver transplantation," Liver Transplantation, vol.