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Gastric Varices

At GastroDoxs in Cypress, our specialized gastric varices treatment offers comprehensive, advanced endoscopic and interventional care, ensuring fully personalized, compassionate management for patients suffering from portal hypertension-related bleeding, conveniently serving the local community with expert gastroenterology services you can trust.

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Harris County Medical Society
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Houston Methodist leading Medicine
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Bharat Pothuri
Symptoms

What Are Gastric Varices?

Gastric varices are swollen veins in your stomach lining caused by elevated pressure in the portal venous system when blood flow through the liver is obstructed. These engorged vessels can rupture and lead to life-threatening bleeding.

Common Symptoms

Varices often remain silent until they bleed. When bleeding occurs, you may experience:

  • Vomiting blood (hematemesis)
  • Black, tarry stools (melena)
  • Dizziness or lightheadedness
  • Rapid heartbeat or low blood pressure
  • Extreme fatigue or weakness

Causes

Gastric varices develop when normal blood flow through the liver is blocked or impeded, leading to increased pressure in nearby veins. Common causes include:

  • Liver cirrhosis (scarring of the liver)
  • Portal hypertension (high pressure in liver veins)
  • Splenic vein thrombosis (blood clots in the splenic vein)
  • Pancreatitis (inflammation of the pancreas)
  • Other blockages of blood flow around the stomach
Treatment

Treatment Options for Gastric Varices in Cypress

Treatment includes medication, procedural interventions, and emergency management:

  • Medication: Beta-blockers (e.g., propranolol) to lower portal pressure and vasoactive drugs (e.g., octreotide) to control active bleeding.
  • Endoscopic therapy: Band ligation or cyanoacrylate (glue) injection during upper endoscopy to stop or prevent bleeding.
  • TIPS procedure: Transjugular intrahepatic portosystemic shunt to reroute blood flow, reduce portal hypertension, and lower rupture risk.
  • Surgery: In select cases, shunt surgery or devascularization procedures to prevent recurrent bleeding when other therapies fail.
  • Emergency care: IV fluids, blood transfusions, and hemodynamic stabilization in acute bleeding episodes, with ICU monitoring as needed.
  • Follow-up monitoring: Regular endoscopic surveillance, imaging studies, and lab tests to assess variceal status and liver function every 6-12 months.

Why Choose GastroDoxs in Cypress?

Gastric varices need prompt, specialized care-and at GastroDoxs in Cypress, you're in expert hands. Our team offers same-day appointments, state-of-the-art endoscopy, imaging and lab services, plus personalized treatment plans ranging from beta-blockers and vasoactive drugs to endoscopic therapies, TIPS procedures, and surgical options. We combine fast, clear communication with compassionate follow-up to keep you safe and informed every step of the way. Don't wait for symptoms to worsen-book your appointment today and take control of your 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

What's the difference between gastric vs esophageal varices?

Gastric varices are dilated veins located in the stomach, whereas esophageal varices are found in the lower esophagus. Both arise from portal hypertension but differ in location, treatment approach, and bleeding risk.

What's the ICD-10 code for bleeding gastric varices?

The ICD-10 code for active bleeding from gastric varices is K76.6. Always verify coding and coverage requirements with your insurance provider.

Which medications treat gastric varices?

Non-selective beta-blockers (for example, propranolol or nadolol) reduce portal pressure, while vasoactive agents like octreotide help control acute bleeding episodes.

When should I see a gastric varices specialist near Cypress?

If you experience vomiting of blood, pass black or tar-like stools, feel dizzy or faint, or have any signs of gastrointestinal bleeding, seek specialist care immediately.

Are gastric varices dangerous?

Yes. Bleeding gastric varices can be life-threatening. Prompt diagnosis and treatment are essential to prevent severe blood loss and complications.

Can they be cured?

While underlying liver disease may persist, treatments such as medications, endoscopic therapy, and TIPS can control bleeding and significantly reduce future risk.

How are gastric varices diagnosed?

Diagnosis typically involves upper endoscopy to visualize the varices. Imaging studies like Doppler ultrasound or CT scan may assess portal and splenic vein pressures and anatomy.

Can lifestyle changes help manage gastric varices?

Yes. Avoiding alcohol, following a low-sodium diet, maintaining a healthy weight, and adhering to your doctor's recommendations can help protect your liver and reduce portal pressure.

How often should I have follow-up evaluations?

Follow-ups are generally recommended every 6-12 months, or more frequently if you have advanced liver disease or a history of bleeding.

Does pregnancy affect gastric varices?

Pregnancy increases blood volume and hormonal changes, which can raise bleeding risk. Pregnant patients with varices should be monitored closely by a specialist throughout gestation.

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