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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Dec 16, 2022; 14(12): 748-758
Published online Dec 16, 2022. doi: 10.4253/wjge.v14.i12.748
Published online Dec 16, 2022. doi: 10.4253/wjge.v14.i12.748
Endoscopic ultrasound-guided diagnosis and treatment of gastric varices
Jian Yang, Jun-Wen Zhang, Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Yan Zeng, Department of Psychology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
Author contributions: Yang J and Zeng Y contributed equally to this work. Yang J, Zeng Y, and Zhang JW designed the study; Yang J and Zeng Y performed the literature search, analyzed the data, and wrote the manuscript; and all authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jun-Wen Zhang, MD, Chief Doctor, Professor, Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuzhong District, Chongqing 400016, China. 959308413@qq.com
Received: September 13, 2022
Peer-review started: September 13, 2022
First decision: October 17, 2022
Revised: October 25, 2022
Accepted: November 21, 2022
Article in press: November 21, 2022
Published online: December 16, 2022
Processing time: 91 Days and 15.1 Hours
Peer-review started: September 13, 2022
First decision: October 17, 2022
Revised: October 25, 2022
Accepted: November 21, 2022
Article in press: November 21, 2022
Published online: December 16, 2022
Processing time: 91 Days and 15.1 Hours
Core Tip
Core Tip: Gastric varices (GV) are a common and severe complication in patients with portal hypertension, and GV bleed more severely with a higher mortality rate than esophageal varices. With increased applications in GV management, endoscopic ultrasound (EUS) has demonstrated diagnosis and treatment benefits, particularly in cases of refractory bleeding or those unsuitable for conventional therapies by preoperative assessments, and thus enriches originally-limited options. The advantages of EUS exist throughout the process, from diagnosis, preoperative assessment, treatment, and efficacy evaluation to follow-up in GV patients. This article reviews published articles and guidelines to present the recent EUS-guided management of GV.