Gastrointestinal varices diagnostic study of choice

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Esophagogastroduodenoscopy (EGD) is the gold standard test for the diagnosis of gastrointestinal varices. EGD should be performed once the diagnosis of cirrhosis is established.

Esophagogastroduodenoscopy (EGD) is the gold standard test for the diagnosis of gastrointestinal varices. EGD should be performed once the diagnosis of cirrhosis is established. Varices may be classified into the following types based on their size:^[1]^[2]^[3]

Small varices
- Minimally elevated veins above the esophageal mucosal surface
Medium varices
- Tortuous veins occupying less than one-third of the esophageal lumen
Large varices
- Occupying more than one-third of the esophageal lumen

↑ de Franchis R (2000). "Updating consensus in portal hypertension: report of the Baveno III Consensus Workshop on definitions, methodology and therapeutic strategies in portal hypertension". J. Hepatol. 33 (5): 846–52. PMID 11097497.
↑ Grace ND, Groszmann RJ, Garcia-Tsao G, Burroughs AK, Pagliaro L, Makuch RW, Bosch J, Stiegmann GV, Henderson JM, de Franchis R, Wagner JL, Conn HO, Rodes J (1998). "Portal hypertension and variceal bleeding: an AASLD single topic symposium". Hepatology. 28 (3): 868–80. doi:10.1002/hep.510280339. PMID 9731585.
↑ "Prediction of the first variceal hemorrhage in patients with cirrhosis of the liver and esophageal varices. A prospective multicenter study". N. Engl. J. Med. 319 (15): 983–9. 1988. doi:10.1056/NEJM198810133191505. PMID 3262200.