Changes clinical practice: Patients with portal hypertension and large gastric varices (>/=10mm size), either isolated or associated with esophageal varices, should undergo primary prophylaxis.

Gastric variceal hemorrhage is a serious consequence of end-stage liver disease, which is associated with high morbidity and mortality. 1 The majority of patients with cirrhosis develop varices ...

These structures exert pressure on the splenic vein, obstructing blood flow and increasing venous pressure, leading to gastric varices. Stenosis of the splenic vein is a rare cause of SVH.

After a median period of 3 years (range, 1.2-12.8 years), seven (11.9%) patients presented with recurrent bleeding that originated from esophageal varices in four patients, gastric varices in two ...