Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. May 21, 2024; 30(19): 2615-2617
Published online May 21, 2024. doi: 10.3748/wjg.v30.i19.2615
Reinforcing the management of type 1 gastric esophageal varices
Zain Majid, Ghazi Abrar
Zain Majid, Ghazi Abrar, Department of Gastroenterology, Sindh Institute of Urology and Transplantation, Karachi 75500, Pakistan
Author contributions: Majid Z wrote and edited the final draft; Abrar G wrote the initial manuscript.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zain Majid, FCPS, MBBS, Academic Research, Assistant Professor, Department of Gastroenterology, Sindh Institute of Urology and Transplantation, Chand Bibi Road, Karachi 75500, Pakistan. zain88@hotmail.com
Received: February 3, 2024
Revised: April 22, 2024
Accepted: April 25, 2024
Published online: May 21, 2024
Abstract

Variceal bleed represents an important complication of cirrhosis, with its presence reflecting the severity of liver disease. Gastric varices, though less frequently seen than esophageal varices, present a distinct clinical challenge due to its higher intensity of bleeding and associated mortality. Based upon the Sarin classification, GOV1 is the most common subtype of gastric varices seen in clinical practice.

Keywords: Gastric varices, Sarin classification, Gastroesophageal varices, Cyanoacrylate, Endoscopic variceal ligation, Trans jugular intrahepatic portosystemic shunt

Core Tip: Management of gastric varices can be challenging, with a correct diagnosis being of paramount importance in order to ensure that the correct treatment is given.