Difference between revisions of "Esophageal varices"
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'''Esophageal varices''' are a relatively common pathology of the [[esophagus]] that typically arises in the context of [[liver cirrhosis|cirrhosis]]. | |||
==General== | |||
*Arise due to [[portal hypertension]]. | |||
**This is usually due to [[cirrhosis]] that in turn is most often due to [[alcoholism]]. | |||
*Usually a [[clinical diagnosis]]. | |||
*Major cause of death in cirrhotics.<ref name=pmid21086193>{{Cite journal | last1 = Tsochatzis | first1 = EA. | last2 = Triantos | first2 = CK. | last3 = Garcovich | first3 = M. | last4 = Burroughs | first4 = AK. | title = Primary prevention of variceal hemorrhage. | journal = Curr Gastroenterol Rep | volume = 13 | issue = 1 | pages = 3-9 | month = Feb | year = 2011 | doi = 10.1007/s11894-010-0160-x | PMID = 21086193 }}</ref> | |||
==Gross== | |||
*Prominent blood vessels in the distal esophagus. | |||
Note: | |||
*At [[autopsy]] its best demonstrated by inversion of the esophagus.<ref name=Ref_HospAuto140>{{Ref HospAuto|140}}</ref> | |||
Image: | |||
*[http://commons.wikimedia.org/wiki/File:Esophageal_varices_-_wale.jpg Esophageal varices - endoscopy (WC)]. | |||
==Microscopic== | |||
Features: | |||
*Large dilated submucosal [[blood vessels|veins]] - '''key feature'''. | |||
*+/-Blood (fresh). | |||
*+/-Hemosiderin-laden macrophages. | |||
Image: | |||
*[http://www.pathguy.com/sol/15419.jpg Esophageal varix (pathguy.com)].<ref>URL: [http://www.pathguy.com/lectures/guts.htm http://www.pathguy.com/lectures/guts.htm]. Accessed on: 24 April 2013.</ref> | |||
==See also== | |||
*[[Esophagus]]. | |||
==References== | |||
{{Reflist|2}} | |||
[[Category:Diagnosis]] | [[Category:Diagnosis]] | ||
[[Category:Esophagus]] | |||
Latest revision as of 22:56, 27 January 2022
Esophageal varices are a relatively common pathology of the esophagus that typically arises in the context of cirrhosis.
General
- Arise due to portal hypertension.
- This is usually due to cirrhosis that in turn is most often due to alcoholism.
- Usually a clinical diagnosis.
- Major cause of death in cirrhotics.[1]
Gross
- Prominent blood vessels in the distal esophagus.
Note:
Image:
Microscopic
Features:
- Large dilated submucosal veins - key feature.
- +/-Blood (fresh).
- +/-Hemosiderin-laden macrophages.
Image:
See also
References
- ↑ Tsochatzis, EA.; Triantos, CK.; Garcovich, M.; Burroughs, AK. (Feb 2011). "Primary prevention of variceal hemorrhage.". Curr Gastroenterol Rep 13 (1): 3-9. doi:10.1007/s11894-010-0160-x. PMID 21086193.
- ↑ Burton, Julian L.; Rutty, Guy N. (2010). The Hospital Autopsy A Manual of Fundamental Autopsy Practice (3rd ed.). Oxford University Press. pp. 140. ISBN 978-0340965146.
- ↑ URL: http://www.pathguy.com/lectures/guts.htm. Accessed on: 24 April 2013.