Muhammad Ajmal, Syed Muhammad Ali Shah, Mobeen Hussain Kayani, Waqar Akhtar.
Development of Fundal Varices in Cirrhotic Patients after Eradication of Esophageal Varices.
J Rawal Med Coll Jan ;21(3):197-200.

Background: To analyze the development of fundal varices in cirrhotic patients after eradication of esophageal varices Methods: In this observational study 150 patients of liver cirrhosis, with the history of upper gastrointestinal tract bleed and esophageal varices of grade F2 and F3 but absence of fundal varices, were included. Patients who had previous history of banding were excluded. Results: Eighty one (54%) patients were male. Mean age of the patients was 49.34±11.45 years. Twenty two (14.66%) developed fundal varices of which 2(1.33%) patients developed fundal varices at 2 months, 8(5.33%) patients developed fundal varices at 4 months following banding, and 12(8%) patients developed fundal varices at 6 months following banding of esophageal varices. Fourteen (63.63%) patients had GOV2 while 8(36.36%) had IGV1. Conclusion: New fundal varices develop with increasing frequency in patients treated with esophageal variceal band ligation, and the incidence has a time-dependent relationship.

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