Downhill esophageal varix
Downhill oesophagal varices are less frequently seen. It is seen in less than 0.5% of routine upper endoscopies. Most common etiology is superior vena obstruction of any cause. It is seen in almost 30% of the cases of SVC obstruction 1.
The underlying cause for SVC obstruction and symptoms related to that. It bleeds less often than more common uphill esophageal varices which is seen in portal hypertension. There is no associated cirrhosis or portal hypertension of any cause.
Treatment and prognosis
Treating the underlying cause of SVC obstruction.
History and etymology
- 1.Siegel Y, Schallert E, Kuker R. Downhill esophageal varices: a prevalent complication of superior vena cava obstruction from benign and malignant causes. (2015) Journal of computer assisted tomography. 39 (2): 149-52. doi:10.1097/RCT.0000000000000183 - Pubmed
- 2. Felson B, Lessure AP, “Downhill” varices of the esophagus,” Diseases of the Chest, vol. 46, no. 6, pp. 740–746, 1964.