caa a22 4500 465819303 CHVBK 20180323112131.0 cr unu---uuuuu 170327e19901201xx s 000 0 eng 10.1007/BF01888771 doi (NATIONALLICENCE)springer-10.1007/BF01888771 Isolated gastric varices: Splenic vein obstruction or portal hypertension? [Elektronische Daten] [Marc Levine, Kim Kieu, Stephen Rubesin, Hans Herlinger, Igor Laufer] The presence of isolated gastric varices without esophageal varices is thought to be highly suggestive of splenic vein obstruction. A review of our radiologic files revealed 14 patients with isolated gastric varices on barium studies performed during the past 10 years. Eight of the 14 patients had adequate clinical and/or radiologic follow-up to suggest the pathophysiology of the varices. Seven had evidence of portal hypertension, and the remaining patient had evidence of splenic vein obstruction. Six patients had signs of upper gastrointestinal (GI) bleeding. Double-contrast upper GI examinations revealed thickened, tortuous fundal folds in 6 patients and a lobulated fundal mass in 2. Thus, most patients with isolated gastric varices have portal hypertension rather than splenic vein obstruction as the underlying cause. Springer-Verlag New York Inc., 1990 Stomach, varices nationallicence Portal hypertension, diagnosis nationallicence Levine Marc Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, 19104, Philadelphia, PA, USA aut Kieu Kim Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, 19104, Philadelphia, PA, USA aut Rubesin Stephen Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, 19104, Philadelphia, PA, USA aut Herlinger Hans Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, 19104, Philadelphia, PA, USA aut Laufer Igor Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, 19104, Philadelphia, PA, USA aut Gastrointestinal Radiology Springer-Verlag 15/1(1990-12-01), 188-192 0364-2356 15:1<188 1990 15 261 https://doi.org/10.1007/BF01888771 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01888771 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Levine Marc Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, 19104, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Kieu Kim Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, 19104, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Rubesin Stephen Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, 19104, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Herlinger Hans Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, 19104, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Laufer Igor Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, 19104, Philadelphia, PA, USA aut NATIONALLICENCE 773 0- Gastrointestinal Radiology Springer-Verlag 15/1(1990-12-01), 188-192 0364-2356 15:1<188 1990 15 261 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer