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Endosonography of gastroesophageal varices: evaluation and follow-up of 76 cases.

Abstract：

:Endosonography was performed in 76 patients who had endoscopically detected gastroesophageal varices or questionable submucosal lesions, or who were being evaluated for pancreatic carcinoma or pancreatitis. The result were compared with surgery or autopsy results. The patients were divided retrospectively into four groups. Group 1 consisted of 6 patients who underwent surgery or autopsy. Five esophageal varices and 1 fundic varix were diagnosed with endosonography and confirmed histologically. Group 2 consisted of 29 patients undergoing sclerotherapy. Intramural thickening of the esophagus and extramural collaterals were found in 20 of 22 patients, respectively. Endoscopy revealed fibrosis in 10 patients. Group 3 consisted of 16 patients evaluated for pancreatic disease. Fifteen fundic varices, 6 cardiac varices, and 5 extramural collateral veins were found by EUS. Group 4 consisted of 16 patients with questionable submucosal lesions and 9 patients with lesions recognized endoscopically as varices. EUS found varices in all 25 patients. In conclusion, EUS is an important procedure in the diagnosis and follow-up of gastroesophageal varices, and in the identification of questionable abnormalities found endoscopically. The effect of sclerotherapy can be demonstrated as mural thickening with disappearance of submucosal varices.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Tio TL,Kimmings N,Rauws E,Jansen P,Tytgat G

doi

10.1016/s0016-5107(95)70071-4

subject

Has Abstract

pub_date

1995-08-01 00:00:00

pages

145-50

issue

2

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(95)70071-4

journal_volume

42

pub_type

杂志文章

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