Review of Applied Anatomy, Hemodynamics, and Endovascular Management of Ectopic Varices
Portal hypertension leads to the opening up of collateral pathways to bypass the occlusion or resistance in the portal system. Ectopic varices are formed by such collaterals at many various sites along the gastrointestinal tract other than the usual location, that is, gastroesophageal region. Early...
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| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2022-08-01
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730868 |
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| author | Sitaram Barath Dharav Kheradia Shakti Parvathy Gopalkrishnan Rahul K. R. Mohammed Rafeeque P. K. |
| author_facet | Sitaram Barath Dharav Kheradia Shakti Parvathy Gopalkrishnan Rahul K. R. Mohammed Rafeeque P. K. |
| author_sort | Sitaram Barath |
| collection | DOAJ |
| description | Portal hypertension leads to the opening up of collateral pathways to bypass the occlusion or resistance in the portal system. Ectopic varices are formed by such collaterals at many various sites along the gastrointestinal tract other than the usual location, that is, gastroesophageal region. Early diagnosis of ectopic varices needs strong clinical suspicion and contrast-enhanced computed tomography scan as endoscopy may often fail to pinpoint a source. In contrast to gastric varices where the understanding of the disease, as well as endovascular management, is widely studied and documented, the same is not true for ectopic varices due to low incidence. Understanding the applied anatomy and hemodynamic classification is important to decide the most suitable therapy. Interventional radiological procedures are aimed at either decompressing the varices or obliterating them and depend on the patency of the portal system, underlying etiology, and local expertise. |
| format | Article |
| id | doaj-art-30d2a6624584458a9f3157898270e8fb |
| institution | DOAJ |
| issn | 2456-4869 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj-art-30d2a6624584458a9f3157898270e8fb2025-08-20T03:18:24ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-48692022-08-01060210611810.1055/s-0041-1730868Review of Applied Anatomy, Hemodynamics, and Endovascular Management of Ectopic VaricesSitaram Barath0Dharav Kheradia1Shakti Parvathy Gopalkrishnan2Rahul K. R.3Mohammed Rafeeque P. K.4Interventional Radiology Subdivision, Department of Radiology, Geetanjali Medical College & Hospital, Udaipur, Rajasthan, IndiaMedical Trust Hospital, Cochin, Kerala, IndiaMedical Trust Hospital, Cochin, Kerala, IndiaGovernment Medical College, Kozhikode, Kerala, IndiaMeitra Hospital, Kozhikode, Kerala, IndiaPortal hypertension leads to the opening up of collateral pathways to bypass the occlusion or resistance in the portal system. Ectopic varices are formed by such collaterals at many various sites along the gastrointestinal tract other than the usual location, that is, gastroesophageal region. Early diagnosis of ectopic varices needs strong clinical suspicion and contrast-enhanced computed tomography scan as endoscopy may often fail to pinpoint a source. In contrast to gastric varices where the understanding of the disease, as well as endovascular management, is widely studied and documented, the same is not true for ectopic varices due to low incidence. Understanding the applied anatomy and hemodynamic classification is important to decide the most suitable therapy. Interventional radiological procedures are aimed at either decompressing the varices or obliterating them and depend on the patency of the portal system, underlying etiology, and local expertise.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730868ectopic varicesbrtobato |
| spellingShingle | Sitaram Barath Dharav Kheradia Shakti Parvathy Gopalkrishnan Rahul K. R. Mohammed Rafeeque P. K. Review of Applied Anatomy, Hemodynamics, and Endovascular Management of Ectopic Varices Journal of Clinical Interventional Radiology ISVIR ectopic varices brto bato |
| title | Review of Applied Anatomy, Hemodynamics, and Endovascular Management of Ectopic Varices |
| title_full | Review of Applied Anatomy, Hemodynamics, and Endovascular Management of Ectopic Varices |
| title_fullStr | Review of Applied Anatomy, Hemodynamics, and Endovascular Management of Ectopic Varices |
| title_full_unstemmed | Review of Applied Anatomy, Hemodynamics, and Endovascular Management of Ectopic Varices |
| title_short | Review of Applied Anatomy, Hemodynamics, and Endovascular Management of Ectopic Varices |
| title_sort | review of applied anatomy hemodynamics and endovascular management of ectopic varices |
| topic | ectopic varices brto bato |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730868 |
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