J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 6275KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 97(1): 27-35, 1996

Feature topic

RECENT PROGRESS IN THE DIAGNOSIS OF GASTROESOPHAGEAL VARICES

First Department of Medicine, Chiba University School of Medicine, Chiba, Japan

Shoichi Matsutani, Hitoshi Maruyama, Goro Sato, Toshiya Suzuki, Keiji Umehara, Hiromitsu Saisho

Recent advarlces in the diagnosis of gastroesophageal varices are reviewed in this paper. Endoscopy, angiography, ultrasound, and ultrasound Doppler are now employed in the diagnosis of varices. As for endoscopic diagnosis, new criteria for the evaluation of gastroesophageal varices have been applied. Angiography is now not only used to demonstrate the varices and collateral circulations in portal hypertension but aIso used in the embolization therapy for large gastric varices or intractable esophageal varices. Ultrasound and color Doppler are now widely used in the diagnosis of portal hypertension because of its noninvasiveness and conveniency. Furthermore, in its use in endoscopy, varical vessels and blood flow in the wall of the esophagus and the stomach can be directly demonstrated. Recent advances in these diagnostic lnodalities will made it possible to diagnose gastroesophageal varices and evaluate the pathophysiology in patients with portal hypertension more precisely.

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