The risk of variceal hemorrhage from esophageal varices can be predicted by the appearance on esophageal endoscopy. The varices were classified by the "General Rules for Recording Endoscopic Findings on Esophageal Varices" prepared by the Japanese Research Society for Portal Hypertension.
|
Category |
Finding |
Category Score |
|
fundamental color (C) |
white varices (Cw) |
+0.2085 |
|
|
blue varices (Cb) |
-0.7188 |
|
red wale marking (RWM) |
absent |
+0.4046 |
|
|
+1 |
-0.2136 |
|
|
+2 |
-0.2136 |
|
|
+3 |
-0.8866 |
|
cherry red spot (CRS) |
absent |
+0.4468 |
|
|
+1 |
+0.4468 |
|
|
+2 |
-0.2429 |
|
|
+3 |
-0.6727 |
|
hematocystic spot (HCS) |
absent (HCS-) |
+0.0516 |
|
|
present (HCS+) |
-0.6875 |
|
diffuse redness (DR) |
absent (DR-) |
+0.0072 |
|
|
present (DR+) |
-0.0550 |
|
form (F) |
straight varices (F1) |
+0.2622 |
|
|
enlarged tortuous varices (F2) |
+0.1312 |
|
|
largest sized varices (F3) |
-0.1020 |
|
location (L) |
locus inferior (Li) |
+0.1675 |
|
|
locus medialis (Lm) |
-0.0045 |
|
|
locus superior (Ls) |
-0.0319 |
|
esophagitis (E) |
absent (E-) |
+0.0723 |
|
|
present (E+) |
-1.3090 |
total score =
= SUM(category scores)
Interpretation:
• maximum score: +1.6135
• minimum score: -4.4635
• The higher the score, the lower the rate of bleeding.
|
Category Score |
Rate of Bleeding |
|
> +1.14 |
0% |
|
+0.38 to +1.14 |
20.6% |
|
0 to < +0.38 |
40% |
|
-0.38 to < 0 |
64.5% |
|
-1.14 to < -0.38 |
90.2% |
|
< -1.14 |
100% |
Specialty: Gastroenterology
ICD-10: ,
