Hashizume et al proposed a classification for gastric varices based on the endoscopic appearance. The authors are from Kyushu University in Fukuoka, Japan.
Patient selection: gastric varices present on gastric endoscopy
Parameters:
(1) shape (F)
(2) location (L)
(3) color (C)
(4) red color spot (RC spot = thin-walled, glossy, red area on the varix)
|
Parameter |
Finding |
Code |
|
shape |
tortuous |
F1 |
|
|
nodular |
F2 |
|
|
tumorous |
F3 |
|
location |
anterior cardia |
La |
|
|
posterior cardia |
Lp |
|
|
lesser curvature of the cardia |
Ll |
|
|
greater curvature of the cardia |
Lg |
|
|
fundus |
Lf |
|
color |
white |
Cw |
|
|
red |
Cr |
|
red color spot |
present |
RC |
The presence of a red color spot was associated with impending hemorrhage from the varix.
Other risk factors for bleeding:
(1) F2
(2) La or Lg
Specialty: Gastroenterology
