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Management of gastric variceal bleeding:Role of endoscopy and endoscopic ultrasound
Authors:Mohit Girotra  Saikiran Raghavapuram  Rtika R Abraham  Mrinal Pahwa  Archna R Pahwa  Rayburn F Rego
Abstract:Gastric varices(GVs)are notorious to bleed massively and often difficult to manage with conventional techniques.This mini-review addresses endoscopic management principles for gastric variceal bleeding,including limitations of ligation and sclerotherapy and merits of endoscopic variceal obliteration.The article also discusses how emerging use of endoscopic ultrasound provides optimism of better diagnosis,improved classification,innovative management strategies and confirmatory tool for eradication of GVs.
Keywords:Gastric  Varices  Endoscopy  Ligation  Sclerotherapy  Management  Transjugular intrahepatic portosystemic shunt  Endoscopic ultrasound  Balloonoccluded retrograde transvenous obliteration  Endoscopic variceal obliteration
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