Classification of Boustiere et al for Gastric Varices Based on Endoscopic Ultrasound

Boustiere et al graded gastric varices based on ultrasonographic findings during endoscopy. The authors are from CHU Saint-Etienne Nord, France.

Patient selection: gastric varices on endoscopy

Examination: endoscopic ultrasonography

Parameters:

(1) size of gastric varices

(2) abnormalities in gastric wall

Parameter	Finding	Grade
size of gastric varices	no varices	0
	small and nonconfluent, < 5 mm	1
	large or confluent, >= 5 mm	2
abnormalities of gastric wall	none	0
	thickened and brilliant third hyperechogenic layer with or without fine internal anechogenic structures	1
	visible vessels in the third layer that deform entire wall, with penetrating varices	2

Ultrasound can also evaluate other stigmata of portal hypertension.

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