Gastrointestinal varices classification: Difference between revisions

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|I
|I
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* Varices visible during only one phase of respiration
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|-
|II
|II
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* Varices visible during both phases of respiration
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|-
|III
|III
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* 3-6 mm in diameter
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|-
|IV
|IV
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* > 6 mm in diameter
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| rowspan="4" |'''Paquet’s classification'''
| rowspan="4" |'''Paquet’s classification'''
|I
|I
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* Microcapillaries located in :
** Distal oesophagus
** Esophago-gastric junction
|-
|-
|II
|II
|
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* 1-2 variceal vessels located in the distal esophagus
|-
|-
|III
|III
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* Medium-sized varices of any number.
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|-
|IV
|IV
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* Large-sized varices in any part of esophagus
|-
|-
| rowspan="4" |'''Westaby classification'''
| rowspan="3" |'''Westaby classification'''
|1
|1
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*  Varices protruded above mucosa
* May be depressed with insufflations.
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|-
|2
|2
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*  Varices covering <50% of the lumen
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|3
|3
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* Varices covering >50% of the lumen
|4
|
|-
|-
| rowspan="4" |'''Soehendra classification'''
| rowspan="4" |'''Soehendra classification'''
|I
|I
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* Mild dilatation
* Diameter <2 mm
* More prominent on flexing the neck forward
|-
|-
|II
|II
|
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* Moderate dilatation
* Tortuou
* Diameter 3–4 mm
* Located in the lower part of the esophagus
|-
|-
|III
|III
|
|
* Total dilatation
* Diameter >4 mm
* Thin-walled
* Varices superimposed on varices
* Located in the gastric fundus
|-
|-
|IV
|IV
|
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* Total dilatation
* Found in the entire oesophagus
* Simultaneous presence of gastric or duodenal varices
|-
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| rowspan="3" |'''Calès classification'''
| rowspan="3" |'''Calès classification'''
|1
|1
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*  Varices flattened by insufflations
|-
|-
|2
|2
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*  Varices not flattened by insufflations
|-
|-
|3
|3
|
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* Confluent esophageal varices not flattened by insufflations
|}
|}



Revision as of 16:34, 20 November 2017

Gastrointestinal varices Microchapters

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

Overview

Classification

Classification of esophageal varices

The following table outlines the major classification schemes for esophageal varices, based on grades:

Classification system Grade Interpretation of grade
Dagradi classification 1
  • Blue or red discoloration of varices
  • Become prominent on compression of esophageal wall by esophagoscope
  • Linear/sigmoid shaped
  • < 2 mm in diameter
2
  • Bluish in color
  • 2–3 mm in diameter
  • Mildly tortuous or straight
  • Elevated above the surface or the relaxed oesophagus
3
  • Prominently elevated bluish veins
  • 3–4 mm in diameter
  • Straight or tortuous
4
  • Bluish varices
  • > 4 mm in diameter, which completely surround the oesophageal lumen and almost meet in the mid-lumen
  • Tortuous
  • Closely packed around the wall
  • With or without mucosal cover
5
  • Grape-like appearance
  • Occlude the lumen of the advancing oesophagoscope
  • Presence of small, cherry-red varices on top of a base of bluish varices
Conn's classification I
  • Varices visible during only one phase of respiration
II
  • Varices visible during both phases of respiration
III
  • 3-6 mm in diameter
IV
  • > 6 mm in diameter
Paquet’s classification I
  • Microcapillaries located in :
    • Distal oesophagus
    • Esophago-gastric junction
II
  • 1-2 variceal vessels located in the distal esophagus
III
  • Medium-sized varices of any number.
IV
  • Large-sized varices in any part of esophagus
Westaby classification 1
  •  Varices protruded above mucosa
  • May be depressed with insufflations.
2
  •  Varices covering <50% of the lumen
3
  • Varices covering >50% of the lumen
Soehendra classification I
  • Mild dilatation
  • Diameter <2 mm
  • More prominent on flexing the neck forward
II
  • Moderate dilatation
  • Tortuou
  • Diameter 3–4 mm
  • Located in the lower part of the esophagus
III
  • Total dilatation
  • Diameter >4 mm
  • Thin-walled
  • Varices superimposed on varices
  • Located in the gastric fundus
IV
  • Total dilatation
  • Found in the entire oesophagus
  • Simultaneous presence of gastric or duodenal varices
Calès classification 1
  •  Varices flattened by insufflations
2
  •  Varices not flattened by insufflations
3
  • Confluent esophageal varices not flattened by insufflations

References

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