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Prepared by: Dr. Mohammad Shaikhani MBChB/CABM/FRCP
Introduction: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Small varices Large varices No varices 7-8%/year 7-8%/year Varices Increase in Diameter Progressively Merli et al. J Hepatol 2003;38:266 VARICES INCREASE IN DIAMETER PROGRESSIVELY
[object Object],[object Object],[object Object],[object Object],NIEC. N Engl J Med 1988; 319:983 Variceal hemorrhage Varix with red signs PROGNOSTIC INDICATORS OF FIRST VARICEAL HEMORRHAGE
Natural history: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Stratification for Portal Hypertension ,[object Object],[object Object],[object Object],[object Object],[object Object]
Capsule Endoscopy for Screening for Varcies Grade 3 Varices Grade 1 Varices
Risk Stratification for Portal Hypertension ,[object Object],[object Object],[object Object]
Risk Stratification for Portal Hypertension ,[object Object]
Risk Stratification for Portal Hypertension ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
 
 
Portal Hypertensive Gastropathy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Associated Portal-Vein Thrombosis ,[object Object],[object Object],[object Object],[object Object]

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