Imaging Pearls ❯ Liver ❯ Portal Hypertension and Varices
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"Compared with endoscopy, the use of CT esophagography gives additional information regarding extraesophageal abnormalities and is preferred more by patients due to its less invasive nature."
Esophageal Varices in Patients with Cirrhosis: Multidetector CT Esophagography-Comparison with Endoscopy Kim SH et al. Radiology 2007; 242:759-768
"The use of CT esophagography allows grading of esophageal varices, as well as differentiation between low and high risk varices with regard to the propensity fr bleeding."
Esophageal Varices in Patients with Cirrhosis: Multidetector CT Esophagography-Comparison with Endoscopy Kim SH et al. Radiology 2007; 242:759-768
Grading System for Varices
Grade
Endoscopic criterion
0
No varices
1
Varices run straight
2
Varices show beaded appearance
3
Varices run in oblique course and are tortuous with tumorlike appearance
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