@Article{Suvak2017,
journal="Gastroenterology Review/Przegląd Gastroenterologiczny",
issn="1895-5770",
volume="12",
number="1",
year="2017",
title="Is computerised tomography better than fibreoptic gastroscopy for early detection of gastric varices?",
abstract=" Introduction : Video endoscopic diagnosis of gastric varices is particularly limited, owing to the deep submucosal or subserosal location of the varices and the normal appearance of the overlying mucosa.    Aim:  We present and emphasise the value of computerised tomography (CT) examination in the early detection of gastric varices (GVs).   Material and methods : In this retrospective study, a total of 216 consecutive patients with cirrhosis were evaluated at the Turkiye Yuksek Ihtisas Training and Research Hospital between September 2008 and March 2011.   Results : One hundred and thirty patients with cirrhosis were enrolled in the study. The mean age of the male (88 cases) patients was 59.45 ±2.42 years, and the mean age of the female (42 cases) patients was 56.29 ±1.14 years. Computerised tomography identified oesophageal varices (EVs) in 103/130 patients, and endoscopy identified EVs in 103/130 patients. Computerised tomography identified GVs in 86/130 patients, and endoscopy identified GVs in 26/130 patients. After endoscopic elastic band ligation (EBL), CT identified GVs in 22/26 patients, and endoscopy identified GVs in 7/26 patients.    Conclusions : Gastric varices lie in the submucosa, deeper than EVs, and distinguishing GVs from gastric rugae may be difficult with video endoscopy. This study demonstrated that CT is a sensitive method for early detection of GVs and has been used previously in the evaluation of GVs.",
author="Suvak, Burak
and Kekilli, Murat
and Beyazit, Yavuz
and Okten, Sarper
and Tanoglu, Alpaslan
and Sasmaz, Nurgul",
pages="34--37",
doi="10.5114/pg.2016.63284",
url="http://dx.doi.org/10.5114/pg.2016.63284"
}