Bleeding esophageal varices

Table of Contents

Definition

Bleeding esophageal varices are very swollen veins in the walls of the lower part of the esophagus (the tube that connects your throat to your stomach) that begin to bleed.


Causes, incidence, and risk factors

Scarring (cirrhosis) of the liver is the most common cause of esophageal varices. This scarring prevents blood from flowing through the liver. As a result, more blood flows through the veins of the esophagus.

This extra blood flow causes the veins in the esophagus to balloon outward. If these veins break open (rupture), they can cause severe bleeding.

Any cause of chronic liver disease can cause varices.

The swollen veins (varices) can also occur in the upper part of the stomach.



Review Date: 01/20/2010
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)