Pathogenesis of Esophageal Varix Rupture
- 1 August 1963
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Surgery
- Vol. 87 (2), 301-307
- https://doi.org/10.1001/archsurg.1963.01310140109019
Abstract
An understanding of the pathogenesis of esophageal varix rupture is of more than academic importance, since upon such knowledge depends the development of a rational approach to the prophylaxis and therapy of this highly lethal disorder. Although much is known about the mechanisms responsible for the formation of esophageal varices, considerable controversy exists regarding the exact cause of varix rupture. Two major factors have been implicated in the pathogenesis, namely, erosion of the varix due to reflux acid-peptic esophagitis, and bursting of the varix due to increased hydrostatic pressure in the portal venous system. The treatment of bleeding esophageal varices has consisted, in large part, of measures directed at counteracting one or the other of these two factors. Much of the evidence cited to support the acid-peptic hypothesis has come from animal experiments of uncertain applicability to man,1,2,15,16 from esophagoscopic examination of cirrhotic patients performed many days after bleedingKeywords
This publication has 2 references indexed in Scilit:
- ESOPHAGITIS ASSOCIATED WITH HEMORRHAGE FROM ESOPHAGEAL VARICESAnnals of Internal Medicine, 1961
- Esophageal Varices: Comparative Incidence of Ulceration and Spontaneous Rupture as a Cause of Fatal HemorrhageGastroenterology, 1953