Difference between revisions of "Esophageal varices"
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*Arise due to [[portal hypertension]]. | *Arise due to [[portal hypertension]]. | ||
**This is usually due to [[cirrhosis]] that in turn is most often due to [[alcoholism]]. | **This is usually due to [[cirrhosis]] that in turn is most often due to [[alcoholism]]. | ||
*Usually a | *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> | *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== | ==Gross== | ||
*Prominent blood vessels in the distal | *Prominent blood vessels in the distal esophagus. | ||
Note: | Note: | ||
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.