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Diagnostic and Therapeutic Endoscopy
Volume 2012 (2012), Article ID 859213, 7 pages
http://dx.doi.org/10.1155/2012/859213
Review Article

Endoscopic Color Doppler Ultrasonography for Esophagogastric Varices

Department of Gastroenterology, Sapporo-Kosei General Hospital, Kita 3 Higashi 8, Chuo-Ku, Sapporo 060-0033, Japan

Received 22 July 2012; Revised 5 October 2012; Accepted 20 October 2012

Academic Editor: Atsushi Irisawa

Copyright © 2012 Takahiro Sato and Katsu Yamazaki. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. The Veterans Affairs Cooperative Variceal Sclerotherapy Group, “Prophylactic sclerotherapy for esophageal varices in men with alcoholic liver disease: a randomized, single-blind, multicenter clinical trial,” The New England Journal of Medicine, vol. 324, no. 25, pp. 1779–1784, 1991. View at Scopus
  2. J. S. Goff, R. M. Reveille, and G. V. Stiegmann, “Endoscopic sclerotherapy versus endoscopic variceal ligation: esophageal symptoms, complications, and motility,” American Journal of Gastroenterology, vol. 83, no. 11, pp. 1240–1244, 1988. View at Scopus
  3. W. Trudeau and T. Prindiville, “Endoscopic injection sclerosis in bleeding gastric varices,” Gastrointestinal Endoscopy, vol. 32, no. 4, pp. 264–268, 1986. View at Scopus
  4. H. Kanagawa, S. Mima, H. Kouyama, K. Gotoh, T. Uchida, and K. Okuda, “Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration,” Journal of Gastroenterology and Hepatology, vol. 11, no. 1, pp. 51–58, 1996. View at Scopus
  5. K. Watanabe, K. Kimura, S. Matsutani, M. Ohto, and K. Okuda, “Portal hemodynamics in patients with gastric varices. A study in 230 patients with esophageal and/or gastric varices using portal vein catheterization,” Gastroenterology, vol. 95, no. 2, pp. 434–440, 1988. View at Scopus
  6. S. Hirota, S. Matsumoto, M. Tomita, M. Sako, and M. Kono, “Retrograde transvenous obliteration of gastric varices,” Radiology, vol. 211, no. 2, pp. 349–356, 1999. View at Scopus
  7. A. Matsumoto, N. Hamamoto, T. Nomura et al., “Balloon-occluded retrograde transvenous obliteration of high risk gastric fundal varices,” American Journal of Gastroenterology, vol. 94, no. 3, pp. 643–649, 1999. View at Publisher · View at Google Scholar · View at Scopus
  8. M. Kitamoto, M. Imamura, K. Kamada et al., “Balloon-occluded retrograde transvenous obliteration of gastric fundal varices with hemorrhage,” American Journal of Roentgenology, vol. 178, no. 5, pp. 1167–1174, 2002. View at Scopus
  9. T. Ninoi, N. Nishida, T. Kaminou et al., “Balloon-occluded retrograde transvenous obliteration of gastric varices with gastrorenal shunt: long-term follow-up in 78 patients,” American Journal of Roentgenology, vol. 184, no. 4, pp. 1340–1346, 2005. View at Scopus
  10. W. C. Widrich, M. Srinivasan, M. C. Semine, and A. H. Robbins, “Collateral pathways of the left gastric vein in portal hypertension,” American Journal of Roentgenology, vol. 142, no. 2, pp. 375–382, 1984. View at Scopus
  11. M. Takashi, M. Igarashi, and S. Hino, “Esophageal varices: correlation of left gastric venography and endoscopy in patients with portal hypertension,” Radiology, vol. 155, no. 2, pp. 327–331, 1985. View at Scopus
  12. M. Hashizume, S. Kitano, H. Yamaga, H. Higashi, and K. Sugimachi, “Angioarchitectural classification of esophageal varices and paraesophageal veins in selective left gastric venography,” Archives of Surgery, vol. 124, no. 8, pp. 961–966, 1989. View at Scopus
  13. S. Matsutani, J. Furuse, H. Ishii, H. Mizumoto, K. Kimura, and M. Ohto, “Hemodynamics of the left gastric vein in portal hypertension,” Gastroenterology, vol. 105, no. 2, pp. 513–518, 1993. View at Scopus
  14. D. L. Kegaries, “The venous plexus of the oesophagus. Its clinical significance,” Surgery, Gynecology & Obstetrics, vol. 58, pp. 46–45, 1934.
  15. T. Noda, “Angioarchitectural study of esophageal varices. With special reference to variceal rupture,” Virchows Archiv, vol. 404, no. 4, pp. 381–392, 1984. View at Scopus
  16. M. Arakawa and M. Kage, “The anatomy and pathomorphology of esophageal varices,” in Portal Hypertension, K. Okuda and J. Benhamou, Eds., pp. 415–428, Springer, New York, NY, USA, 1992.
  17. M. Hashizume, S. Kitano, K. Sugimachi, and K. Sueishi, “Three-dimensional view of the vascular structure of the lower esophagus in clinical portal hypertension,” Hepatology, vol. 8, no. 6, pp. 1482–1487, 1988. View at Scopus
  18. T. T. McCormack, J. D. Rose, P. M. Smith, and A. G. Johnson, “Perforating veins and blood flow in oesophageal varices,” The Lancet, vol. 2, no. 8365-8366, pp. 1442–1444, 1983. View at Scopus
  19. A. Vianna, P. C. Hayes, G. Moscoso et al., “Normal venous circulation of the gastroesophageal junction: a route to understanding varices,” Gastroenterology, vol. 93, no. 4, pp. 876–889, 1987. View at Scopus
  20. S. W. Hosking and A. G. Johnson, “Gastric varices: a proposed classification leading to management,” British Journal of Surgery, vol. 75, no. 3, pp. 195–196, 1988. View at Scopus
  21. S. K. Sarin, R. Nanda, and G. Sachdev, “Follow-up of patients after variceal eradication. A comparison of patients with cirrhosis, noncirrhotic portal fibrosis, and extrahepatic obstruction,” Annals of Surgery, vol. 204, no. 1, pp. 78–82, 1986. View at Scopus
  22. K. Beppu, K. Inokuchi, and N. Koyanagi, “Prediction of variceal hemorrhage by esophageal endoscopy,” Gastrointestinal Endoscopy, vol. 27, no. 4, pp. 213–218, 1981. View at Scopus
  23. K. C. Cho, Y. D. Patel, R. H. Wachsberg, and J. Seeff, “Varices in portal hypertension: evaluation with CT,” Radiographics, vol. 15, no. 3, pp. 609–622, 1995. View at Scopus
  24. T. Sato, K. Yamazaki, J. Toyota, Y. Karino, T. Ohmura, and T. Suga, “Evaluation of magnetic resonance angiography in detection of gastric varices,” Journal of Gastroenterology, vol. 34, no. 3, pp. 321–326, 1999. View at Publisher · View at Google Scholar · View at Scopus
  25. E. J. Balthazar, A. Megibow, D. Naidich, and R. S. LeFleur, “Computed tomographic recognition of gastric varices,” American Journal of Roentgenology, vol. 142, no. 6, pp. 1121–1125, 1984. View at Scopus
  26. J. K. Willmann, D. Weishaupt, T. Böhm et al., “Detection of submucosal gastric fundal varices with multi-detector row CT angiography,” Gut, vol. 52, no. 6, pp. 886–892, 2003. View at Publisher · View at Google Scholar · View at Scopus
  27. T. Sato, K. Yamazaki, and J. Akaike, “Diagnosis of gastric varices and evaluation of the effectiveness of treatment using transabdominal color Doppler ultrasonography,” Journal of Ultrasound in Medicine, vol. 28, no. 9, pp. 1125–1131, 2009. View at Scopus
  28. G. C. Caletti, E. Brocchi, M. Baraldini, A. Ferrari, M. Gibilaro, and L. Barbara, “Assessment of portal hypertension by endoscopic ultrasonography,” Gastrointestinal Endoscopy, vol. 36, no. 2, pp. S21–S27, 1990. View at Scopus
  29. G. Choudhuri, R. K. Dhiman, and D. K. Agarwal, “Endosonographic evaluation of the venous anatomy around the gastro-esophageal junction in patients with portal hypertension,” Hepato-Gastroenterology, vol. 43, no. 11, pp. 1250–1255, 1996. View at Scopus
  30. H. Nakamura, H. Inoue, T. Kawano, N. Goseki, M. Endo, and K. Sugihara, “Selection of the treatment for esophagogastric varices—analyses of collateral structures by endoscopic ultrasonography,” Surgical Endoscopy, vol. 6, no. 5, pp. 228–234, 1992. View at Publisher · View at Google Scholar · View at Scopus
  31. T. Sato, K. Yamazaki, J. Toyota, Y. Karino, T. Ohmura, and J. Akaike, “Clinical experience with newer electronic radial-type endoscopic color Doppler ultrasonography in the diagnosis of esophageal varices,” Journal of Medical Ultrasonics, vol. 37, no. 3, pp. 117–121, 2010. View at Publisher · View at Google Scholar · View at Scopus
  32. T. Sato, K. Koito, A. Nobuta, et al., “Observation of esophageal varices by endoscopic color Doppler ultrasonography (ECDUS) and usefulness of ECDUS for evaluation of endoscopic injection sclerotherapy,” Gastrointestinal Endoscopy, vol. 33, pp. 2379–2387, 1991 (Japanese).
  33. T. Sato, K. Higashino, J. Toyota et al., “Heat-probe coagulation treatment of recurrent intramucosal venous dilatation of the esophagus and endoscopic color Doppler ultrasonographic follow-up,” Digestive Endoscopy, vol. 7, no. 3, pp. 203–207, 1995. View at Scopus
  34. T. Sato, K. Yamazaki, J. Toyota, Y. Karino, T. Ohmura, and T. Suga, “Pulsatile wave in esophageal wall blood vessels after endoscopic therapy for esophageal varices: evaluation by endoscopic color Doppler ultrasonography,” Digestive Endoscopy, vol. 10, no. 1, pp. 9–13, 1998. View at Scopus
  35. S. Hino, H. Kakutani, K. Ikeda et al., “Hemodynamic assessment of the left gastric vein in patients with esophageal varices with color Doppler EUS: factors affecting development of esophageal varices,” Gastrointestinal Endoscopy, vol. 55, no. 4, pp. 512–517, 2002. View at Publisher · View at Google Scholar · View at Scopus
  36. T. Sato, K. Yamazaki, J. Toyota et al., “Visualization of palisade veins in esophageal varices by endoscopic color Doppler ultrasonography,” Digestive Endoscopy, vol. 15, no. 2, pp. 87–92, 2003. View at Publisher · View at Google Scholar · View at Scopus
  37. T. Sato, K. Yamazaki, J. Toyota et al., “Usefulness of electronic radial endoscopic color Doppler ultrasonography in esophageal varices: comparison with convex type,” Journal of Gastroenterology, vol. 41, no. 1, pp. 28–33, 2006. View at Publisher · View at Google Scholar · View at Scopus
  38. Y. Yazaki, T. Kawashima, C. Sekiya, et al., “F° recurrent esophageal varices—diagnosis, clinical features, and endoscopic injection sclerotherapy for this new type of varices,” Endoscopia Digestiva, vol. 4, pp. 1021–1029, 1992 (Japanese).
  39. T. Sato, K. Higashino, J. Toyota et al., “The usefulness of endoscopic color Doppler ultrasonography in the detection of perforating veins of esophageal varices,” Digestive Endoscopy, vol. 8, no. 3, pp. 180–183, 1996. View at Scopus
  40. A. Irisawa, K. Obara, H. Sakamoto, et al., “The selection and evaluation of the manipulation for endoscopic injection sclerotherapy against esophageal varices with extra esophageal shunt,” Nihon Monmyakuatsu Koshinsho Gakkai Zasshi, vol. 3, pp. 147–154, 1997 (Japanese).
  41. A. Saito, K. Obara, A. Irisawa, et al., “Experience of endoscopic injection sclerotherapy combined with selective endoscopic variceal ligation in 3 patients with esophageal varices accompanied by large extra-esophageal shunt,” Nihon Monmyakuatsu Koshinsho Gakkai Zasshi, vol. 3, pp. 263–268, 1997 (Japanese).
  42. K. Inokuchi, M. Kobayashi, M. Saku, N. Nagasue, A. Iwaki, and S. Nakayama, “Characteristics of splanchnic portal circulation in portal hypertension as analyzed by pressure study in clinical cases,” Acta Hepatology, vol. 18, pp. 891–898, 1977 (Japanese).
  43. H. Aoki, “The hemodynamics and the treatment of esophago-gastric varices,” Digestive Surgery, vol. 24, pp. 2309–2319, 1991 (Japanese).
  44. S. R. Reuter and T. W. Atkin, “High-dose left gastric angiography for demonstration of esophageal varices,” Radiology, vol. 105, no. 3, pp. 573–578, 1972. View at Scopus
  45. M. Hashizume, K. Tanaka, and K. Inokuchi, “Morphology of gastric microcirculation in cirrhosis,” Hepatology, vol. 3, no. 6, pp. 1008–1012, 1983. View at Scopus
  46. A. Lunderquist, “Pharmacoangiography of the left gastric artery in oesophageal varices,” Acta Radiologica, vol. 15, no. 2, pp. 157–160, 1974. View at Scopus
  47. B. Kohler and J. F. Riemann, “The role of endoscopic Doppler-sonography,” Hepato-Gastroenterology, vol. 46, no. 26, pp. 732–736, 1999. View at Scopus
  48. S. N. Sgouros, C. Bergele, and A. Avgerinos, “Endoscopic ultrasonography in the diagnosis and management of portal hypertension. Where are we next?” Digestive and Liver Disease, vol. 38, no. 5, pp. 289–295, 2006. View at Publisher · View at Google Scholar · View at Scopus
  49. H. Iwase, S. Suga, K. Morise, A. Kuroiwa, T. Yamaguchi, and Y. Horiuchi, “Color Doppler endoscopic ultrasonography for the evaluation of gastric varices and endoscopic obliteration with cyanoacrylate glue,” Gastrointestinal Endoscopy, vol. 41, no. 2, pp. 150–154, 1995. View at Publisher · View at Google Scholar · View at Scopus
  50. T. Sato, K. Yamazaki, J. Toyota, Y. Karino, T. Ohmura, and J. Akaike, “Observation of gastric variceal flow characteristics by endoscopic ultrasonography using color doppler,” American Journal of Gastroenterology, vol. 103, no. 3, pp. 575–580, 2008. View at Publisher · View at Google Scholar · View at Scopus
  51. T. Suzuki, S. Matsutani, K. Umebara et al., “EUS changes predictive for recurrence of esophageal varices in patients treated by combined endoscopic ligation and sclerotherapy,” Gastrointestinal Endoscopy, vol. 52, no. 5, pp. 611–617, 2000. View at Scopus
  52. Y. Konishi, T. Nakamura, H. Kida, H. Seno, K. Okazaki, and T. Chiba, “Catheter US probe EUS evaluation of gastric cardia and perigastric vascular structures to predict esophageal variceal recurrence,” Gastrointestinal Endoscopy, vol. 55, no. 2, pp. 197–203, 2002. View at Publisher · View at Google Scholar · View at Scopus
  53. H. Seno, Y. Konishi, M. Wada, H. Fukui, K. Okazaki, and T. Chiba, “Endoscopic ultrasonograph evaluation of vascular structures in the gastric cardia predicts esophageal variceal recurrence following endoscopic treatment,” Journal of Gastroenterology and Hepatology, vol. 21, no. 1, pp. 227–231, 2006. View at Publisher · View at Google Scholar · View at Scopus
  54. A. Irisawa, A. Saito, K. Obara et al., “Endoscopic recurrence of esophageal varices is associated with the specific EUS abnormalities: Severe peri-esophageal collateral veins and large perforating veins,” Gastrointestinal Endoscopy, vol. 53, no. 1, pp. 77–84, 2001. View at Publisher · View at Google Scholar · View at Scopus
  55. G. Shibukawa, A. Irisawa, A. Saito et al., “Variceal recurrence after endoscopic sclerotherapy associated with the perforating veins in lower esophagus independently,” Hepato-Gastroenterology, vol. 51, no. 57, pp. 744–747, 2004. View at Scopus
  56. T. Sakai, T. Iwao, K. Oho, A. Toyonaga, and K. Tanikawa, “Influence of extravariceal collateral channel pattern on recurrence of esophageal varices after sclerotherapy,” Journal of Gastroenterology, vol. 32, no. 6, pp. 715–719, 1997. View at Scopus
  57. J. B. Dilawari, G. S. Raju, and Y. K. Chawla, “Development of large spleno-adreno-renal shunt after endoscopic sclerotherapy,” Gastroenterology, vol. 97, no. 2, pp. 421–426, 1989. View at Scopus
  58. K. Ito, S. Matsutani, H. Maruyama et al., “Study of hemodynamic changes in portal systemic shunts and their relation to variceal relapse after endoscopic variceal ligation combined with ethanol sclerotherapy,” Journal of Gastroenterology, vol. 41, no. 2, pp. 119–126, 2006. View at Publisher · View at Google Scholar · View at Scopus
  59. T. Sato, K. Yamazaki, J. Toyota, Y. Karino, T. Ohmura, and J. Akaike, “Endoscopic ultrasonographic evaluation of hemodynamics related to variceal relapse in esophageal variceal patients,” Hepatology Research, vol. 39, no. 2, pp. 126–133, 2009. View at Publisher · View at Google Scholar · View at Scopus
  60. N. Soehendra, H. Grimm, V. C. Nam, and B. Berger, “N-butyl-2-cyanoacrylate: a supplement to endoscopic sclerotherapy,” Endoscopy, vol. 19, no. 6, pp. 221–224, 1987. View at Scopus
  61. T. Sato, “Endoscopic ultrasonographic findings before and after sclerotherapy for gastric varices,” Journal of Medical Ultrasonics, vol. 37, no. 3, pp. 149–151, 2010. View at Publisher · View at Google Scholar · View at Scopus
  62. J. P. Sutton, D. Y. Yarborough, and J. T. Richards, “Isolated splenic vein occlusion. Review of literature and report of an additional case,” Archives of Surgery, vol. 100, no. 5, pp. 623–626, 1970. View at Scopus
  63. R. R. Babb, “Splenic vein obstruction: a curable cause of variceal bleeding,” American Journal of Digestive Diseases, vol. 21, no. 6, pp. 512–513, 1976. View at Scopus
  64. C. Muhletaler, A. J. Gerlock, and V. Goncharenko, “Gastric varices secondary to splenic vein occlusion: radiographic diagnosis and clinical significance,” Radiology, vol. 132, no. 3, pp. 593–598, 1979. View at Scopus
  65. T. Sato, “Gastric varices secondary to splenic vein occlusion: endoscopic color Doppler ultrasonography aids diagnosis,” Journal of Medical Ultrasonics, vol. 39, no. 4, pp. 283–285, 2012. View at Publisher · View at Google Scholar · View at Scopus