Treatment methods for gastric varices

Written by Zhang Peng

General Surgery

Updated on September 02, 2024

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Gastric varices primarily refer to varices at the stomach base, often occurring in diseases characterized by portal hypertension associated with liver cirrhosis and as a complication of these gastric varices. For treating varices at the stomach base, if continuous hematemesis or vomiting blood occurs, there are several treatment options: The first is the injection of a sclerosing agent, which can achieve the purpose of hemostasis. Additionally, endoscopic ligation treatment can be considered. This method is very effective in preventing the rupture and bleeding of gastric varices. However, it is crucial to assess the overall status of the patient and determine whether liver cirrhosis can be prevented or treated.

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Written by Zhang Xue Min

Vascular Surgery

1min 2sec

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Does varicose veins hurt when pressed?

In most cases, varicose veins are not painful on touch. However, if they are painful when pressed, there are several possibilities. One is that there is an obstruction at the proximal end of the varicose vein, which is closer to the heart. This results in high local tension in the varicose vein, and pressing on it can stimulate the nerves in the surrounding membrane, causing pain on touch. Another possibility is that a blood clot has formed inside the varicose vein. The formation of blood clots is often accompanied by some sterile inflammation. When there is inflammation, symptoms can include redness, warmth, pain, and localized heat. Pressing on such an area can intensify the pain. Additionally, it is particularly important to emphasize that if varicose veins are painful on touch, one must visit a hospital and not press on them themselves. If there is a blood clot, pressing it could dislodge the clot, causing it to travel to the lungs and lead to a pulmonary embolism.

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Written by Wang Shuai

Urology

58sec

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Symptoms of varicocele in the right spermatic cord

If it is a mild varicocele, most patients have no discomfort symptoms and it is not easily detected. If the varicocele reaches a moderate or even severe level, the patient may experience a sensation of dragging pain in the right testicle and a lax scrotum, especially after long periods of sitting, standing, or intense exercise. The pain and dragging sensation in the testicle will become more pronounced. However, the symptoms will gradually ease after lying down and resting. If varicocele persists for a long time, it can lead to a decline in sperm quality, causing male infertility, and can even result in testicular atrophy. If the above symptoms are present, it is necessary to promptly go to the hospital for an ultrasound examination to determine the diameter of the spermatic vein. A routine semen analysis may be necessary if there is a decline in semen quality. If needed, surgery may be required for treatment.

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Written by Zhang Xue Min

Vascular Surgery

55sec

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Is vein varicose treatment better with injections or surgery?

Venous sclerotherapy involves injecting a sclerosing agent and is a relatively good and minimally invasive treatment method. Its advantages include being minimally invasive and even suitable for outpatient surgery, with low costs. However, there are drawbacks; one is that the medication might enter the deep veins, causing deep vein thrombosis. If the dosage is too large, it could reach the lungs, causing pulmonary embolism. Additionally, the medication might seep into surrounding tissues, causing inflammatory reactions. Some patients may experience temporary hyperpigmentation. Surgical treatment is a more traditional method, but it depends on the specific situation. Generally, it causes more trauma than sclerotherapy and usually requires some level of anesthesia. Surgery entails a certain amount of blood loss, and like other methods, it cannot prevent recurrence.

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Written by Zhang Peng

General Surgery

45sec

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Treatment methods for gastric varices

Gastric varices primarily refer to varices at the stomach base, often occurring in diseases characterized by portal hypertension associated with liver cirrhosis and as a complication of these gastric varices. For treating varices at the stomach base, if continuous hematemesis or vomiting blood occurs, there are several treatment options: The first is the injection of a sclerosing agent, which can achieve the purpose of hemostasis. Additionally, endoscopic ligation treatment can be considered. This method is very effective in preventing the rupture and bleeding of gastric varices. However, it is crucial to assess the overall status of the patient and determine whether liver cirrhosis can be prevented or treated.

home-news-image

Written by Zhang Xue Min

Vascular Surgery

50sec

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What does it mean when varicose veins occasionally have blocked blood flow?

The so-called varicose veins are caused by blood circulation blockages, which likely refers to local thrombus formation, leading to feelings of congestion in lower limbs, or caused by compression from above, such as tight clothing, exacerbating the obstruction of blood flow. This might result in increased surface tension of varicose veins in the lower extremities. Additionally, there might be some pain upon pressing, or even spontaneous pain. In such cases, differentiated treatment is required. For instance, if the issue is due to compressive clothing, like tight-knee socks or pants legs that are too tight, simply relieving the pressure should suffice. However, if a thrombus has formed causing increased local tension, pressing or massaging must be strictly avoided, as there is a risk the thrombus might dislodge and potentially lead to pulmonary embolism.