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Pathological Findings for Esophageal Varices

  • Masahiro Arakawa
  • Masayosi KageEmail author
Chapter

Abstract

The citing of pathological findings regarding the esophageal varices is uncommon.

Accordingly, the authors report on the histology of esophageal varices including studying failure images of esophageal varices by pathologists and a specialist in endoscopy removing the lower esophagus and stomach at an autopsy en bloc and injecting a liquid into which we mixed gelatin and barium into varicose blood vessels. Also, we compared this histology with endoscopic findings and examined the angioarchitecture of the lower esophagus and discussed the origin of the esophageal variceal rupture.

Keywords

Pathology Esophageal varices Esophageal variceal rupture 

References

  1. 1.
    Arakawa M, Koga M, Kage M, et al. Pathomorphological study on primary liver cancer—relationship between tumor thrombus and esophageal varices. Acta Hepatol Jpn. 1979;20:941–7. (Jpn).CrossRefGoogle Scholar
  2. 2.
    Arakawa M, Kage M, Matsumoto S, et al. Frequency and significance of tumor thrombi in esophageal varices in hepatocellular carcinoma associated with cirrhosis. Hepatology. 1986;6:419–22.CrossRefGoogle Scholar
  3. 3.
    Makuuchi H, Machimura T, Sugihara T, et al. The bleeding points of esophageal varices and the time course of their morphologic changes. Endosc Dig. 1989;1:1031–7. (Jpn).Google Scholar
  4. 4.
    Arakawa M, Noda T, Fukuda K, et al. Clinicopathological studies of esophageal varices—the structure of blood vessels in esophageal wall. J Jpn Soc Gastroenterol. 1983;80:2339–46. (Jpn).Google Scholar
  5. 5.
    Noda T. Angioarchitectural study of the esophageal varices. With special reference to variceal rupture. Virchows Arch A Pathol Anal Histopathol. 1984;404:381–92.CrossRefGoogle Scholar
  6. 6.
    Arakawa M, Kage M. The anatomy and pathomorphology of esophageal varices. In: Okuda K, Benhamou JP, editors. Portal hypertension. Clinical and physiological aspects. Tokyo: Springer; 1985. p. 415–28.Google Scholar
  7. 7.
    Kegaries DL. The venous plexus of the esophagus. Its clinical significance. Surg Gynecol Obstet. 1934;58:46–51.Google Scholar
  8. 8.
    Butler H. The veins of the esophagus. Thorax. 1951;6:276–96.CrossRefGoogle Scholar
  9. 9.
    DeCarvalho CAF. Sur“I’angio”G. Architecture veneuse de la zone de transition. Oesophagogastrique et son interpretation fonctinelle. Acta Anat. 1966;64:125–62.CrossRefGoogle Scholar
  10. 10.
    Vianna A, Hayes PC, Mosecso G, et al. Normal venous circulation of the gastroesophageal junction. A route to understanding varices. Gastroenterology. 1987;93:876–89.CrossRefGoogle Scholar
  11. 11.
    Arakawa M, Kage M, Oukubo K, et al. Angioarchitecture of lower esophagus in portal hypertension cases. J Jpn Soc Gastroenterol. 1991;88:1336–40. (Jpn).Google Scholar
  12. 12.
    Dagradi AE, Stempine SJ, Owens LK. Bleeding esophago-gastric varices -an endoscopic study of 50 cases. Arch Surg. 1966;92:944–7.CrossRefGoogle Scholar
  13. 13.
    Orloff MI, Thomas HS. Pathogenesis of esophageal varix rupture. Arch Surg. 1963;87:301–7.CrossRefGoogle Scholar
  14. 14.
    Arakawa M, Noda T, Fukuda K, et al. Clinicopathological studies of esophageal varices. Histological findings of ruptured esophageal varices and its relationship to endoscopic findings. Gastroenterol Endosc. 1985;27:191–8. (Jpn).Google Scholar
  15. 15.
    Japanese Research Society for Portal Hypertension. The general rules for recording endoscopic findings on esophageal varices. Jpn J Surg. 1980;10:84–7.CrossRefGoogle Scholar
  16. 16.
    Japanese Society for Portal Hypertension. General rules for recording endoscopic finding of esophageal varices (1991). World J Surg. 1995;19:420–2.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of PathologyAsakura Medical Association HospitalAsakuraJapan
  2. 2.Kurume University Research Center for Innovative Cancer TherapyKurumeJapan

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