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Volume 139, Issue 6, Pages (December 2010)

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Presentation on theme: "Volume 139, Issue 6, Pages (December 2010)"— Presentation transcript:

1 Volume 139, Issue 6, Pages 1952-1960 (December 2010)
Prognostic Value of Endoscopy in Children With Biliary Atresia at Risk for Early Development of Varices and Bleeding  Mathieu Duché, Béatrice Ducot, Elodie Tournay, Monique Fabre, Joseph Cohen, Emmanuel Jacquemin, Olivier Bernard  Gastroenterology  Volume 139, Issue 6, Pages (December 2010) DOI: /j.gastro Copyright © 2010 AGA Institute Terms and Conditions

2 Figure 1 Cumulative risk of GI bleeding in 125 children with biliary atresia according to the results of the first upper GI endoscopy, performed at a median age of 13 months. (A) Grade of esophageal varices (Ev): Ev 0, no varices; Ev 1, grade 1 varices; Ev 2, grade 2 varices; Ev 3, grade 3 varices. (B) Presence or absence of red markings (Rs) on the esophageal (Es) mucosa on the varices. Es Rs 0, no red markings; Es Rs +, presence of red markings. (C) Presence or absence of gastric varices along the cardia (GV). GV 0, no gastric varices along the cardia; GV +, presence of gastric varices along the cardia. (D) Presence or absence of portal hypertensive gastropathy (PHG). PHG 0, no portal hypertensive gastropathy; PHG +, presence of portal hypertensive gastropathy. Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2010 AGA Institute Terms and Conditions

3 Figure 2 Importance of the presence of gastric varices along the cardia (GOV according to Sarin et al22) with or without associated esophageal red markings, for prediction of the risk of GI bleeding, as observed in 93 children with biliary atresia who underwent upper GI endoscopy showing esophageal varices at a mean age of 38 months. In 20 of the 26 children who bled, endoscopy was performed a median of 6 days after bleeding. Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2010 AGA Institute Terms and Conditions


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