Esophageal Varices Grading

fU U

Fig. 3.58 Downhill varices. Proximal esophageal varices secondary to upper inflow stasis

Fig. 3.59 Differential diagnosis a Mucosal folds

Fig. 3.59 Differential diagnosis a Mucosal folds

Laryngitis
b Leiomyoma

- Abb. 3.60 Grading of esophageal varices

The grades are based on size and luminal narrowing

I Distended veins at the level of the mucosa

Grading Esophageal Varices

II Isolated, straight varices that project into the lumen with no significant narrowing (< 5 mm)

Esophageal Varices Grade

III Large, tortuous varices that cause significant luminal narrowing (> 5 mm)

Grading Esophageal Varices

II Isolated, straight varices that project into the lumen with no significant narrowing (< 5 mm)

Proximal Esophageal Varices

IV Almost complete luminal obstruction, signs of high bleeding risk

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