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KMID : 0882419780210040301
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Korean Journal of Medicine
1978 Volume.21 No. 4 p.301 ~ p.306
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An Endoscopic Study of Esophageal Varices
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Choi Kyoo-Wan
Kim Chung-Yong
Oh In-Hyuk
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Abstract
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The Purposes of this study are to observe orphological details of esophageal varices, to correlate the .severity of varices with various clinical findi gs, and to evaluate the diagnostic accuracy of esopha.ography in detecting esophageal varices.
Twenty-six patients with esophageal varus were selected for the study. This consisted of 18 patients who were endoscoped due to acute upper gas rointestinal bleeding and 8 patients with chronic liver diseases who were selected at random. The varic s were classified by the Sesoko´s method into 3 grades according to severity. The grade I or mild var ces are those with unequivocal distension and tortul,sity of the vein forming fold-like elevations. The trade II or moderate varices look like hemispherical or nodular prominence in some parts of the elevated s ructure below the 2nd narrowing. The grade III or severe varices are the longitudinally aligned, nod lar or beads-like bulging of highest degree of veins, usually throughout the entire length of the esophagu
The observed results are summarized as fol ows:
1) Esophagoscopy is the far better method in the diagnosis of esophageal varix than -esophago : raphy. None´ of the 6 mild varices was demonstr. ed by esophagography and. only two thirds of oderate varices were detected by routine esophagograpy.
2) There was no significant correlation ´ etween the size, number, location or color of the vari es and the history of upper gastrointestinal hemorr age. A mild varix may bleed more easily and profuse y than a severe varix.
3) There was no correlation between the --verity of esophageal varices and hepatomegaly. Bu ´there was a tendency for some correlation betw-en the severity of esophageal varices and splenomegapy.
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