Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
He reviews your medical history, symptoms, alcohol use and other risk factors for liver disease.
He checks for signs of portal hypertension'such as abdominal swelling, enlarged spleen or fluid build-up.
We assess liver function (enzymes, bilirubin), platelet count and clotting factors to gauge bleeding risk.
An endoscope is used to visualize the stomach lining and directly identify any swollen varices.
Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Without bleeding: I85.01; with bleeding: I85.11.
Liver cirrhosis, portal hypertension, blood clots in liver veins, chronic hepatitis, heavy alcohol use, or rare conditions like Budd�Chiari syndrome.
The varices themselves can be treated or controlled, but the underlying liver disease often requires ongoing management.
Both are swollen veins caused by portal hypertension; gastric varices are in the stomach, while esophageal varices are in the esophagus.
No. You'll receive sedation or relaxation medication, and most patients feel little to no discomfort during the procedure.
Avoid alcohol, follow a low-salt diet, eat smaller meals, stay as active as advised, and attend regular follow-up visits.
Surveillance is typically every 6 to 12 months, depending on the size of your varices and overall liver health.
Some patients may experience confusion or mild encephalopathy; Dr. Chadha will monitor you closely and adjust treatment as needed.
Many treatments are outpatient, but active bleeding or certain procedures may require a short hospital stay for monitoring.
Visit the American College of Gastroenterology website for reliable patient resources on variceal bleeding and portal hypertension.
