"Downhill" varices. A rare cause of esophageal hemorrhage

Revista Espanola de Enfermedades Digestivas

Volumn 98, Issue 5, 2006, Pages 359-361

  Areia, Miguel ^a   Romaozinho J M ^a   Ferreira, M ^a   Amaro, P ^a   Freitas, D ^a  

^a CENTRO HOSPITALAR E UNIVERSITÁRIO DE COIMBRA   (Portugal)

Author keywords

Esophageal and gastric varices; Gastrointestinal hemorrhage; Pulmonary hypertension

Indexed keywords

LOW MOLECULAR WEIGHT HEPARIN; NONSTEROID ANTIINFLAMMATORY AGENT; WARFARIN;

AGED; ANAMNESIS; ARTICLE; CASE REPORT; CLINICAL FEATURE; DRUG SUBSTITUTION; DRUG WITHDRAWAL; ECHOGRAPHY; ENDOSCOPY; ESOPHAGUS HEMORRHAGE; ESOPHAGUS VARICES; HOSPITAL DISCHARGE; HUMAN; INTENSIVE CARE UNIT; LABORATORY TEST; MALE; ESOPHAGUS DISEASE; GASTROINTESTINAL HEMORRHAGE; PULMONARY HYPERTENSION; RECURRENT DISEASE;

AGED, 80 AND OVER; ESOPHAGEAL AND GASTRIC VARICES; ESOPHAGEAL DISEASES; GASTROINTESTINAL HEMORRHAGE; HUMANS; HYPERTENSION, PULMONARY; MALE; RECURRENCE;

EID: 33750095683     PISSN: 11300108     EISSN: None     Source Type: Journal    
DOI: 10.4321/S1130-01082006000500006     Document Type: Article

References (21)

1. Blam ME, Kobrin S, Siegelman ES, Scotiniotis IA. "Downhill" esophageal varices as an iatrogenic complication of upper extremity hemodialysis access. Am J Gastroenterol 2002; 97 (1): 216-8.
2. Areia M, Romãozinho JM, Ferreira M, Amaro P, Freitas D. Unidade de Cuidados Intensivos de Gastrenterologia - 13 anos de vida. GE - J Port Gastrenterol 2005; 12 (3) (Supl.): 62.
3. Pop A, Cutler AF. Bleeding downhill esophageal varices: a complication of upper extremity hemodialysis access Gastrointest Endosc 1998; 47 (3): 299-303.
4. Felson B, Lessure AP. "Downhill" varices of the esophagus. Dis Chest 1964; 46: 740-6.
5. Serin E, Ozer B, Gumurdulu Y, Yildirim T, Barutcu O, Boyacioglu S. A case of Castleman's disease with "downhill" varices in the absence of superior vena cava obstruction. Endoscopy 2002; 34 (2): 160-2.
6. Otto DL, Kurtzman RS. Esophageal varices in superior vena caval obstruction. Am J Roentgenol Radium Ther Nucl Med 1964; 92: 1000-12.
7. Martorell F. Esophageal varices due to superior caval hypertension. Angiologia 1955; 7 (2): 49-53.
8. Johnson LS, Kinnear DG, Brown RA, Mulder DS. "Downhill" esophageal varices. A rare cause of upper gastrointestinal bleeding. Arch Surg 197; 113 (12): 1463-4.
9. Sorokin JJ, Levine SM, Moss EG, Biddle CM. Downhill varices: report of a case 29 years after resection of a substernal thyroid gland. Gastroenterology 1977; 73 (2): 345-8.
10. Hirose J, Takashima T, Suzuki M, Matsui O. "Downhill" esophageal varices demonstrated by dynamic computed tomography. J Comput Assist Tomogr 1984; 8 (5): 1007-9.
11. Glanz S, Koser MW, Dallemand S, Gordon DH. Upper esophageal varices: report of three cases and review of the literature. Am J Gastroenterol 1982; 77 (3): 194-8.
12. Criado E, Marston WA, Jaques PF, Mauro MA, Keagy BA. Proximal venous outflow obstruction in patients with upper extremity arteriovenous dialysis access. Ann Vasc Surg 1994; 8 (6): 530-5.
13. Fleig WE, Stange EF, Ditschuneit H. Upper gastrointestinal hemorrhage from downhill esophageal varices. Dig Dis Sci 1982; 27 (1): 23-7.
14. Yarze JC. "Downhill" esophageal varices. Am J Gastroenterol 2002; 97 (7): 1841-2.
15. Armstrong BA, Perez CA, Simpson JR, Hederman MA. Role of irradiation in the management of superior vena cava syndrome. Int J Radiat Oncol Biol Phys 1987; 13 (4): 531-9.
16. Pérez-Soler R, McLaughlin P, Velasquez WS, Hagemeister FB, Zornoza J, Manning JT, et al. Clinical features and results of management of superior vena cava syndrome secondary to lymphoma. J Clin Oncol 1984; 2 (4): 260-6.
17. Hennequin LM, Fade O, Fays JG, Bic JF, Jaafar S, Bertal A, et al. Superior vena cava stent placement: results with the Wallstent endoprosthesis. Radiology 1995; 196 (2): 353-61.
18. Conklin JL, Christensen J. Motor function of the pharynx and esophagus. In: Johnson LR, Alpers DH, Christensen J, Jacobson ED, Walsh JH, editors. Physiology of the gastrointestinal tract. New York: Raven Press; 1994.
19. Boyce GA, Boyce HW. Esophagus: anatomy and structural anomalies. In: Yamaria T, Alpers DH, Owyang C, Powell DW, Silverstein FE, editors. Textbook of gastroenterology. Philadelphia: Lippincott; 1995.
20. Heller SL, Meyer JR, Russell EJ. Spinal cord venous infarction following endoscopic sclerotherapy for esophageal varices. Neurology 1996; 47 (4): 1081-5.
21. Tsokos M, Bartel A, Schoel R, Rabenhorst G, Schwerk WB. Fatal pulmonary embolism after endoscopic embolization of downhill esophageal varix. Dtsch Med Wochenschr 1998; 123 (22): 691-5.