Várices esofágicas superiores (Downhill varices). Presentación de casos y revisión de la literatura

  • Luis Alberto Ángel Arango Universidad Nacional de Colombia, Unidad de Gastroenterología, Departamento de Medicina Interna. Gastroinvest SAS. Idime, Bogotá DC.
  • Andrés Felipe Donado Moré Universidad Nacional de Colombia, Departamento de Radiología e Imágenes Diagnósticas.
Palabras clave: várices esofágicas superiores, Downhill varices, descripción de casos, revisión, hipertensión pulmonar (HTP)

Resumen

Se describen 21 casos con hallazgo incidental de várices esofágicas superiores (Downhill varices) en endoscopia de las vías digestivas altas. Además, se detallan algunos datos relevantes de la historia clínica y de los hallazgos endoscópicos. La relación hombres/mujeres fue 1:1 y la edad promedio fue de 67,9 años. La comorbilidad más frecuente fue la enfermedad pulmonar obstructiva crónica (EPOC), seguida de las neumoconiosis, la obesidad y el síndrome de apnea-hipopnea, todas con hipertensión pulmonar (HTP) asociada. Las tres últimas causas no han sido descritas previamente en la literatura sobre várices esofágicas superiores. Ningún paciente tenía antecedente de hemorragia variceal.

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Biografía del autor/a

Luis Alberto Ángel Arango, Universidad Nacional de Colombia, Unidad de Gastroenterología, Departamento de Medicina Interna. Gastroinvest SAS. Idime, Bogotá DC.
Médico Internista, Gastroenterólogo, Nutriólogo. Profesor Titular de la Unidad de Gastroenterología, Departamento de Medicina Interna. Universidad Nacional de Colombia
Andrés Felipe Donado Moré, Universidad Nacional de Colombia, Departamento de Radiología e Imágenes Diagnósticas.

Médico y Cirujano, egresado de la Universidad Nacional de Colombia. Residente de Radiología e Imágenes Diagnosticas, Universidad Nacional de Colombia.

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Caso 21. Várices
Publicado
2020-03-27
Cómo citar
Ángel Arango, L. A., & Donado Moré, A. F. (2020). Várices esofágicas superiores (Downhill varices). Presentación de casos y revisión de la literatura. Revista Colombiana De Gastroenterología, 35(1), 43-53. https://doi.org/10.22516/25007440.381
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