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portal hypertension related to cirrhosis or chronic hepatitis
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What generally causes esophageal
1 What is considered upper GI? 2
varices?
3 What is irritable bowel syndrome? 4 What is the most acute GI bleed?
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Terms in this set (44)
What is considered upper GI? -esophagus
-stomach
-duodenum
What is considered lower GI? -colon
-rectum
, What are Mallory Weiss tears? an upper GI bleed (if they rupture and become
lacerations)
-small tears in mucosa of the esophagus occuring at
the junction of the esophagus and the stomach
causes:
-prolonged/forceful vomiting, coughing, convulsions
-excessive alcohol ingestion
S&S
-bright red blood in vomit
resolves in about 10 days on its own
What is esophageal varices? dilated, tortuous veins located in the submucosa of
the lower esophagus.
What is the most acute GI bleed? esophageal varices
What generally causes esophageal portal hypertension related to cirrhosis or chronic
varices? hepatitis
What are risk factors for esophageal -chronic hepatitis
varices? -liver failure
-portal hypertension and advanced liver disease
Explain the pathophysiology of the veins of the esophagus drain into the portal vein
esophageal varices? which carries blood into the liver
-if the liver is scarred from cirrhosis/ liver failure then
bloodflow through the liver is restricted and blood
cannot drain sufficiently from the esophagus and
stomach
-this causes congestion which leads to high pressure
backing up into the veins in the esophagus and
stomach which causes them to enlarge