Impact of Esophageal Varices Injection On Gastric Varices In Chronic Liver Disease Patients

Gastro esophageal varices are the most relevant Porto systemic Collateral because their rupture results in variceal hemorrhage and it’s the most common lethal complication of cirrhosis Varices and variceal hemorrhage are the complication of cirrhosis that results most directly from portal hypertension .Portal hypertension is a life-threatening complication of cirrhosis and results in the development of portosystemic shunts comprising esophageal varices .Gastric varices have been increasingly recognized as a major cause of gastrointestinal bleeding in patients with portal hypertension. Compared with esophageal variceal bleeding, hemorrhage caused by gastric varices is usually more severe and hemostatic control is reported to be more difficult .Management for gastric varices usually include vasoactive agents, endoscopic therapy and surgery .Rupture of gastric fundal varices is often lethal because of massive bleeding .The bleeding from GV is more severe, requiring more blood transfusions, and has a higher mortality rate than esophageal variceal bleeding .Bleeding from Gvs. Is generally thought to be more sever than bleeding from Evs but it occur less frequently .