Králík J, Vavros B
Endoscopy. 1978 Feb;10(1):51-4. doi: 10.1055/s-0028-1098262.
Isolated gastric varices in patients with portal hypertension are a relatively rare source of bleeding into the gastrointestinal tract. Endoscopy is a very valuable method of diagnosis in such cases. The authors report their own observation of gastric varices, well documented with the endoscopic technique before and after surgery. Varices of the gastric fundus are always an indication to surgical management. On the basis of their own experiences made with 5 patients, the authors recommend a direct intervention in form of an extragastric suture or resection of the convolution of the varicose veins, in selected patients simultaneously complete with a portasystemic shunt.
门静脉高压患者的孤立性胃静脉曲张是胃肠道出血相对少见的原因。内镜检查是此类病例非常有价值的诊断方法。作者报告了他们自己对胃静脉曲张的观察，术前和术后均通过内镜技术进行了充分记录。胃底静脉曲张始终是手术治疗的指征。基于对5例患者的自身经验，作者推荐对部分患者采取胃外缝合或曲张静脉卷曲切除术等直接干预措施，同时完成门体分流术。
