GASTROENTEROLOGY ARTICLE OF THE WEEK
September 22, 2011
Almadi M, Almessabi A, Wong P, et al. Ectopic Varices. Gastrointest Endosc 2011;74:380-388.
True or False
1, Varices can produce a PSC-like picture on cholangiography
2. Rectal varices are more common in patients with cirrhosis and portal hypertension compared to non-cirrhotic portal hypertension
3. Small bowel varices are found in up to 70% of patients with portal hypertension undergoing small bowel enteroscopy
4. TIPS is a useful procedure in patients with isolated gastric varices from splenic vein thrombosis.
5. Rectal varices are defined as distended veins extending more than 4cm above the anal verge
6. Banding is the preferred method for treating ectopic varices
7. B-blockers do not appear to be effective in decresing rebleeding from peristomal varices.
8. Multiple colonic AVM’s, primarily in the right colon, may be the presenting sign of portal colopathy.