31 year-old man with end-stage
liver disease secondary to alcoholic cirrhosis, with a recurrent episode of
bleeding from gastric and esophageal varices. Seen on retroflexion are pendulous
varices in the gastric cardia and fundus, covered with fresh-appearing blood.
78 year-old man with colonic
carcinoma metastatic to liver, causing portal hypertension. Serpiginous varices
course through the gastric fundus.
65 year-old man with
cryptogenic cirrhosis presented with painless melena, and was found to have
gastric and esophageal varices. Polyp-like varices are shown here in the gastric
cardia, seen on retroflexion of the endoscope.