Gastric Varices treatment by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Exam

He inquires when, where, how long, what, and what makes you have epigastric pain? He examines your nutrition, any drugs including Nonsteroidal anti-inflammatory drugs and alcohol and pre-existing ulcers or reflux. Subcutaneous abdominal palpation.

Laboratory Tests

We order blood work including:

• CBC to look for anemia or infection
• Liver function tests (AST, ALT, ALP, bilirubin)
• Pancreatic enzymes (amylase, lipase)
• H. pylori breath or stool antigen test if peptic ulcer is suspected

Imaging Studies

• Abdominal ultrasound to evaluate gallbladder, bile ducts, liver, and pancreas
• CT scan of the abdomen/pelvis when complications like pancreatitis, perforation, or masses are a concern

Endoscopic Evaluation

An upper endoscopy (EGD) provides direct visualization of the esophagus, stomach, and duodenum to detect ulcers, gastritis, hiatal hernia, or other lesions. Biopsies can be taken for H. pylori or malignancy testing.

Advanced Testing (if needed)

Only under select conditions, an esophagus pH should be monitored or manometry of the esophagus should be conducted to determine the reflux and motility disorders. Submuscular lesions or follow-up changes of chronic pancreatitis can also be assessed by endoscopic ultrasound.