CLD তে মূলত lower esophageal varix হয়, due to portal HTN.এবং এটা gradually develop করে। সাথে Fundal varix ও থাকতে পারে। কিন্তু কখনোই isolated gastric fundal varix থাকেনা।
আর Acute pancreatitis এ Gastric fundal varix হয়, due to Splenic vein thrombosis. কারণ Gastric fundus এ থাকা short gastric veins গুলো, splenic vein এ drain করে। তাই Splenic vein এ thrombosis হলে, Splenic venous pressure বেড়ে যায়। Backwardly, short gastric venous pressure বেড়ে যায়, Congestion শুরু হয়।
ফলে দেখা দেয়,Isolated Gastric Fundal varix.
এইক্ষেত্রে Sudden varix develop করে।
Summary:
Isolated gastric fundal varix → think splenic vein thrombosis → think pancreatitis.
Esophageal and gastroesophageal varices → think chronic liver disease/portal hypertension.
Raiyyan Tahsan. Date:-16-04-2025 Wednesday Time:-08-09-45 Pm
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