Cirrhosis with subsequent portal hypertension is a major health problemworldwide. Among various etiologies, HCV is the leading cause of chronic hepatocellularinjury. Cirrhosis being the commonest cause of portal hypertension results in a spectrum ofcomplications. Approximately 5-15% of cirrhotic develop varices. Gastric varices althoughpresent less frequently as compared to esophageal varices but are associated with greatermortality and morbidity. Objectives: To determine prevalence of Gastric varices in patients withdecompensated cirrhosis. Study Design: Cross sectional study. Place & Duration: Carriedout at two centers, Pakistan Ordinance Factories Hospital Wah Cantt and Shalimar HospitalLahore from Jan 2014 to Jan 2015. Subjects: A total of 421subjects of decompensate cirrhosiswere included in the study. Methods: Patients with decompensate cirrhosis of any etiology whowere visiting the two hospitals as inpatient or outpatient were included in the study. Upper GIendoscopy was done in all these subjects for determination of gastric varices. Results: Among421 patients of decompensate cirrhosis, frequency of gastric varices was 10.9%, GOV1 as themost common variant. Gastric varices contributed to 5.4% of all variceal bleeds. Conclusion:Gastric varices are found in significant number of patients of decompensate cirrhosis. Sincegastric varices are associated with increased mortality and poor outcomes, these shouldbe carefully looked during upper GI endoscopy. Successful management of gastric varicealhemorrhage necessitates availability of expertise and newer diagnostic modalities.
Algorithm of Examination and Management of Patients in the Detection of Fibroadenomas of the Breast
