MSCT in Determining the Signs of Possible Bleeding from Gastric Varices
Yudin AL*, Yumatova EA, Yagubova KV and Nakhaeva GA
Pirogov Russian National Research Medical University, 117997 Russian Federation, Moscow, Russia
*Corresponding Author: Yudin AL, Pirogov Russian National Research Medical University, 117997 Russian Federation, Moscow, Russia.
October 05, 2022; Published:
October 26, 2022
Gastric varices are considered as one of the main causes of gastrointestinal bleeding in patients with portal hypertension caused by liver cirrhosis. Such bleeding is often more severe than bleeding from esophageal varices, and control of hemostasis is problematic. With esophagogastroduodenoscopy differentiation between varicose veins and gastric folds can be difficult. Currently, most patients with liver cirrhosis undergo multispiral computed tomography (MSCT) to assess the severity of liver cirrhosis, identify hepatomas, detect esophageal varices, determine the presence and severity of ascites, splenomegaly. Little attention has been paid to the differentiation of gastric varices.
Aim: To establish the parameters of gastric varices which determine a high risk of gastric bleeding according to the results of multispiral computed tomography.
Material and Methods: The results of studies of 61 patients with liver cirrhosis and gastric varices were retrospectively studied. 9 of them had signs of bleeding on endoscopic examination or the corresponding data in the medical history. In 5 patients gastric bleeding occurred 28-52 days after MSCT. MSCT was performed mainly according to the standard multiphase scanning technique, but with the addition of hydro-CT.
Results: According to the results of MSCT with multiplanar reconstructions gastric bleeding was detected in patients with protrusion of submucosal varicose veins into the gastric lumen by 5 mm or more with a vein diameter > 7 mm.
Conclusion: Based on the results of standard MSCT it is possible to predict the development of gastric bleeding and to select patients for preventive minimally invasive interventions on the gastric veins.
Keywords: CT; Portal Hypertension; Gastric Varices
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