Marshall J P, Smith P D, Hoyumpa A M
Am J Dig Dis. 1977 Nov;22(11):947-55. doi: 10.1007/BF01076192.
Gastric varices may appear in association with esophageal varices secondary to portal-hypertension or as an independent manifestation of splenic vein obstruction. Since gastric varices often manifest as radiologic filling defects in the gastric fundus or cardia, differentiation from tumors and many other diseases becomes imperative. Unfortunately, routine diagnostic pprocedures may be of limited value. The difficulties in the diagnosis of gastric varices are illustrated with three specific cases. Correct diagnosis is best established with the aid of endoscopy and such special procedures as celiac angiography or splenoportography. With the help of three cases, the characteristics of gastric varices are reviewed and their evaluation and management are outlined.
胃静脉曲张可能与门静脉高压继发的食管静脉曲张同时出现，或作为脾静脉阻塞的独立表现。由于胃静脉曲张常表现为胃底或贲门的放射学充盈缺损，因此与肿瘤及许多其他疾病的鉴别变得至关重要。不幸的是，常规诊断程序的价值可能有限。通过三个具体病例阐述了胃静脉曲张诊断中的困难。借助内镜检查以及诸如腹腔动脉造影或脾门静脉造影等特殊检查，最有助于做出正确诊断。借助三个病例，回顾了胃静脉曲张的特征，并概述了其评估和处理方法。
