Oesophageal varices without bleeding - what does this mean
Oesophageal varices without bleeding are a condition in which the veins in the oesophagus become abnormally enlarged and swollen, but no bleeding occurs. this is usually caused by an increased pressure in the portal vein, which is the vein that carries blood from the digestive organs to the liver. it can also be caused by cirrhosis of the liver, which is a condition in which the liver is damaged and unable to function properly.
What happens during the disease - oesophageal varices without bleeding
Oesophageal varices without bleeding is caused by increased pressure in the portal vein due to portal hypertension. this increased pressure causes the veins in the lower part of the oesophagus to become enlarged and weakened, leading to the formation of varices. these varices can become stretched and thin, and can rupture, leading to bleeding. however, in cases of oesophageal varices without bleeding, the varices have not yet ruptured, and the patient is at risk of developing bleeding varices in the future.
Treatment and Medical Assistance
Main Goal: To reduce the risk of bleeding from oesophageal varices
- Identify the underlying cause of oesophageal varices
- Provide lifestyle advice to reduce the risk of bleeding
- Prescribe medications to reduce the pressure in the portal vein
- Perform endoscopic variceal ligation to reduce the size of the varices
- Perform endoscopic sclerotherapy to reduce the size of the varices
- Perform endoscopic variceal banding to reduce the size of the varices
- Perform endoscopic balloon tamponade to reduce the size of the varices
- Perform endoscopic variceal stent placement to reduce the size of the varices
- Perform transjugular intrahepatic portosystemic shunt (TIPS) to reduce the pressure in the portal vein
- Perform surgical portosystemic shunt to reduce the pressure in the portal vein
10 Days of Hospitalization Required
Average Time for Outpatient Care Not Established
Oesophageal varices without bleeding - Prevention
The prevention of oesophageal varices without bleeding includes lifestyle modifications such as avoiding excessive alcohol consumption and maintaining a healthy weight, as well as medications such as beta-blockers and endoscopic treatments such as band ligation and sclerotherapy to reduce the risk of further complications.