Treatment methods for gastric varices

Written by Zhang Peng

General Surgery

Updated on September 02, 2024

00:00

00:00

Gastric varices primarily refer to varices at the stomach base, often occurring in diseases characterized by portal hypertension associated with liver cirrhosis and as a complication of these gastric varices. For treating varices at the stomach base, if continuous hematemesis or vomiting blood occurs, there are several treatment options: The first is the injection of a sclerosing agent, which can achieve the purpose of hemostasis. Additionally, endoscopic ligation treatment can be considered. This method is very effective in preventing the rupture and bleeding of gastric varices. However, it is crucial to assess the overall status of the patient and determine whether liver cirrhosis can be prevented or treated.

Other Voices

home-news-image

Written by Chen Feng

Urology

45sec

home-news-image

What should I do about varicocele?

The treatment methods for varicocele vary based on the severity of the condition. Clinically, some patients with varicocele show no obvious symptoms and it is only discovered during a physical examination. These patients can generally be observed temporarily, and can also wear tight underwear or use a scrotal support to alleviate the condition. However, some patients do exhibit clear symptoms, such as a significant sensation of heaviness in the scrotum, especially after standing or walking for long periods, where the pain becomes more pronounced. These patients generally need to consider surgical treatment, where the main procedure involves high ligation of the spermatic vein. This can help alleviate symptoms and also improve the quality of semen.

home-news-image

Written by Wang Shuai

Urology

54sec

home-news-image

Can bilateral varicocele be cured?

After the occurrence of varicocele, some patients may experience a feeling of heaviness and pain in the scrotum, which is often more apparent after prolonged standing, sitting, or intense exercise, and gradually alleviates after lying down and resting. During physical examination, tortuous veins similar to earthworms can be felt inside the scrotum. A color Doppler ultrasound examination is needed for further clarification. For bilateral varicoceles, it is currently curable. The main treatment method is surgical intervention, such as laparoscopic high ligation of the spermatic veins on both sides. This surgical approach is a minimally invasive procedure and the surgical outcomes are quite definite. Generally, a recovery period of 3-6 months after surgery is expected before complete recovery.

home-news-image

Written by Chen Feng

Urology

49sec

home-news-image

Can varicocele heal itself?

Varicocele generally cannot be cured, and most patients with varicocele do not have any symptoms and only discover their condition during physical examinations. Such patients can temporarily be under observation, but they should regularly have their varicocele rechecked and also have their semen quality tested. If there are abnormalities in semen quality, timely surgical treatment is necessary. Clinically, a small number of varicocele patients exhibit significant symptoms, typically presenting as discomfort and pain on the affected side of the scrotum, especially after long periods of walking or standing, with pain becoming more pronounced. In such cases, prompt surgical intervention is generally necessary, and surgery can also improve the quality of the patient's semen.

home-news-image

Written by Wang Shuai

Urology

43sec

home-news-image

Causes of varicocele

There are several causes of varicocele, including congenital factors and secondary causes. Congenital causes are mainly seen in cases of incomplete development of venous valves, while secondary causes may result from prolonged sitting, standing, or intense exercise over time. Some patients develop varicocele due to kidney tumors or blood clots in renal veins, which obstruct the blood flow returning through the spermatic vein. Patients with severe varicocele may experience a sensation of heaviness and pain in the testicles. In treating varicocele, it is also important to understand the reasons behind it. If it is caused by a tumor, active treatment of the tumor is necessary.

home-news-image

Written by Zhang Xue Min

Vascular Surgery

1min 19sec

home-news-image

How to treat varicose veins stage II?

If you're referring to the second stage of varicose veins, I'm not sure if you mean the clinical manifestation stage two, or if it's a recurrence after one surgery. Let's first talk about stage two varicose veins, which means there are visible and tortuous vein clumps. There are several main treatment methods for this condition: First, conservative treatment, which involves wearing medical compression stockings. If symptoms include soreness, heaviness, or cramping, some medications can be taken orally. Then, if there is a desire for surgical treatment, options like vein stripping, radiofrequency, or laser treatments are available. Some may involve sclerotherapy or another method called venous angle keratin treatment, specifically for stage two varicose veins. If it's a recurrence of varicose veins, we need to assess the specific situation. Some people might have had previous endovenous closure surgeries, and their veins are still present. In such cases, we can choose to redo the closure or opt for surgery to remove them. Another scenario is if the varicose veins have recurred after surgery. We need to investigate the cause. Some people might have iliac vein stenosis, and in such cases, treatment targeted at the iliac vein is necessary.