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Diagnosis of oesophageal variceal bleeding

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In Western countries 10% of upper GI bleeds are caused by haemorrhage from oesophageal varices.

Of patients with an upper GI bleed and a history and examination suggestive of portal hypertension, only 30% will have an oesophageal varix as the source of the haemorrhage (1)

Endoscopy is essential in order to determine the site of bleeding from the upper GI tract.

Reference:

  • Parks, RW. and Diamond, T. (1995). Emergency and long-term management of bleeding oesophageal varices. Brit.J.Hosp.Med., 54(4), 161-8.

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