Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.4/918
Título: "Downhill" varices. A rare cause of esophageal hemorrhage
Autor: Areia, M
Romãozinho, JM
Ferreira, M
Amaro, P
Freitas, D
Palavras-chave: Doenças do Esófago
Hemorragia Gastrointestinal
Data: 2006
Editora: Arán
Citação: Rev Esp Enferm Dig. 2006 May;98(5):359-61.
Resumo: "Downhill" varices or upper esophageal varices are a rare cause of proximal digestive tract hemorrhage with only 16 cases described in the literature. In our series, hemorrhage due to "downhill" varices represents 0.1% of all acute esophageal variceal bleeding. Their etiology differs from that of the usual "uphill" varices secondary to portal hypertension, and the clinical management should be directed to vascular obstruction if present. We report a case of an 89-year-old male with hemorrhagic "downhill" varices not associated, as usually, with superior vena cava obstruction or compression, but with severe pulmonary hypertension and drug-related hemorrhagic risk factors, whose removal proved sufficient to prevent rebleeding.
Peer review: yes
URI: http://hdl.handle.net/10400.4/918
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