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Gastric Varices

At GastroDoxs in Houston, our experienced team specializes in diagnosing and treating gastric varices, offering personalized care using advanced endoscopic techniques to manage bleeding risks effectively, ensuring patients receive comprehensive support and peace of mind here in our local community.

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Harris County Medical Society
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Bharat Pothuri
Symptoms

What Are Gastric Varices?

Gastric varices are enlarged, swollen veins in the lining of the stomach that develop when blood flow through the portal vein is obstructed or under high pressure. This backup of blood-often due to liver disease or portal hypertension-causes fragile vessels that can rupture and bleed.

Common Symptoms

Many people have no warning until bleeding occurs. When symptoms appear, you may notice:

  • Vomiting blood (hematemesis)
  • Black, tarry stools (melena)
  • Dizziness or lightheadedness
  • Rapid heartbeat or low blood pressure
  • Severe upper abdominal pain

Causes

Gastric varices arise when increased pressure in the portal venous system forces blood into collateral veins. Common underlying causes include:

  • Cirrhosis (scarring of the liver)
  • Portal hypertension (high pressure in liver veins)
  • Splenic vein thrombosis (clot in the splenic vein)
  • Pancreatitis (inflammation of the pancreas)
  • Structural or vascular abnormalities in the stomach lining
Treatment

Treatment Options for Gastric Varices in Houston

Treatment includes personalized medical and interventional procedures:

  • Endoscopic therapy: Band ligation or injection of a sclerosing agent to close and heal bleeding stomach veins.
  • TIPS procedure: Transjugular intrahepatic portosystemic shunt creates an internal pathway in the liver to lower portal pressure.
  • BRTO procedure: Balloon-occluded retrograde transvenous obliteration blocks collateral veins to prevent blood pooling and bleeding.
  • Medications: Non-selective beta-blockers reduce portal vein pressure; vasoactive drugs may help control active bleeding.
  • Surgery: Shunt surgery or devascularization reroutes blood flow when less invasive treatments are insufficient.

Why Choose GastroDoxs?

With a focus on patient-centered care and specialized treatment for gastric varices, GastroDoxs in Houston offers expert diagnostics, personalized therapy plans, and seamless ICD-10 coding for straightforward insurance billing. Our board-certified gastroenterologists and gastric varices specialists work closely with you from diagnosis through follow-up to ensure the best possible outcomes and lasting peace of mind.

Don't wait for an emergency-schedule your appointment with our gastric varices expert today and take the first step toward better digestive health.

1k

Patients Treated

We've successfully treated more than 1k patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

How are gastric varices diagnosed?

Gastric varices are typically identified using upper endoscopy to visualize enlarged veins in the stomach lining. Cross-sectional imaging-such as CT scans or abdominal ultrasounds-may also be used to assess portal hypertension and related liver changes.

What is the ICD-10 code for gastric varices?

The ICD-10 code for gastric varices is I85.1, whether bleeding is present or not. Accurate coding ensures proper documentation and smoother insurance billing.

Can gastric varices happen without cirrhosis?

Yes. Although cirrhosis is a common cause, gastric varices can also develop from splenic vein thrombosis, portal vein clots, pancreatitis, or other vascular abnormalities even in the absence of liver scarring.

Is band ligation effective?

Endoscopic band ligation can control bleeding from gastric varices, but it may be less durable than when used for esophageal varices. Your gastroenterologist will recommend the optimal endoscopic therapy based on your individual anatomy and bleeding risk.

What lifestyle changes help reduce risks?

To lower portal pressure and bleeding risk, avoid alcohol, follow a low-salt diet, maintain a healthy weight, manage blood pressure, and adhere to any medications prescribed by your doctor.

Do I need a referral?

Many insurance plans require a referral to see a gastroenterologist or specialist. Contact our office-we'll verify your benefits and assist with any necessary authorizations.

How often do I need follow-up scopes?

Surveillance endoscopy is usually recommended every 6 to 12 months, depending on the size of your varices and your overall bleeding risk. This schedule may be adjusted based on your treatment response.

Can beta-blockers prevent new varices?

Nonselective beta-blockers reduce portal vein pressure and lower the risk of bleeding, but they do not guarantee that new varices won't form. Your physician will tailor medical therapy to your condition.

How long is recovery after a TIPS procedure?

Most patients stay in the hospital for 2-3 days after a TIPS procedure. Full recovery varies, but many resume normal activities within a week, with routine follow-up visits at our Houston clinic.

Are support groups available?

Yes. We can connect you with local liver and gastrointestinal support groups in the Houston area, providing community, education, and resources for ongoing care.

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