Rupture of Esophageal Varices Quiz

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Maxwell J. Nanes, DO

Maxwell J. Nanes, DO (Emergency department)

Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |

Aiko Yoshioka, MD

Aiko Yoshioka, MD (Gastroenterology)

Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.

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People with similar symptoms also use Ubie's symptom checker to find possible causes

  • Blood in vomit after subsequent vomiting

  • Puking blood after drinking large amounts of alcohol

  • Stool is black

  • Blood vomit after repeatedly throwing up

  • Vomiting blood after drinking large amounts of alcohol

  • Nausea improves with vomiting

  • Black stools

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Learn more about Rupture of esophageal varices

Content updated on Sep 20, 2022

What is rupture of esophageal varices?

Rupture of blood vessels in the esophagus (food pipe), leading to significant bleeding. This typically occurs in advanced liver disease when veins enlarge due to high pressure.

Symptoms of rupture of esophageal varices

  • Vomited blood

  • Black, shiny stool

  • Nausea or vomiting

  • Stomach feels bloated

  • Drink alcohol regularly

  • Loss of appetite

  • History of liver cirrhosis

Questions your doctor may ask to check for rupture of esophageal varices

Your doctor may ask these questions to diagnose rupture of esophageal varices

  • Did you vomit blood?

  • Do you have stools that are black (like hair) and shiny?

  • Do you have nausea or vomiting?

  • Do you feel that your abdomen (stomach) is bloated or has a lot of gas?

  • Do you drink alcohol regularly?

Treatment for rupture of esophageal varices

The goal of treatment is to stop the bleeding and maintain the patient's blood pressure. This is typically done through a camera "scope" procedure to tie off the bleeding areas. Medications and "drip" fluids are administered in the meantime. In some cases, surgery is required to redirect blood flow away from the varices or for a liver transplant.

View the symptoms of Rupture of esophageal varices

References

  • Pimenta JR, Ferreira AR, Fagundes ED, Queiroz TC, Baptista RA, de Araújo Moreira EG, de Resende CB, Bittencourt PF, Carvalho SD, Neto JA, Penna FJ. Factors Associated With Bleeding Secondary to Rupture of Esophageal Varices in Children and Adolescents With Cirrhosis. J Pediatr Gastroenterol Nutr. 2017 Feb;64(2):e44-e48. doi: 10.1097/MPG.0000000000001362. PMID: 27496799.

    https://journals.lww.com/jpgn/Fulltext/2017/02000/Factors_Associated_With_Bleeding_Secondary_to.32.aspx

  • Hatayama K, Washio Y, Okamura T, Noda T, Tsukahara H. Neonatal hemochromatosis associated with rupture of esophageal varices. Pediatr Int. 2019 Jul;61(7):735-737. doi: 10.1111/ped.13908. PMID: 31359540.

    https://onlinelibrary.wiley.com/doi/10.1111/ped.13908

User testimonials

Reviewed By:

Maxwell J. Nanes, DO

Maxwell J. Nanes, DO (Emergency department)

Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |

Aiko Yoshioka, MD

Aiko Yoshioka, MD (Gastroenterology)

Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.

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