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. 2022 Oct;18(10):574–585.

Table 3.

Vascular Anatomy, Endoscopic Correlation, and Management of Gastric Varices4,10

Saad-Caldwell Type Feeding Vessels Gastrorenal Shunt Endoscopic Correlate Treatment
Type 1a LGV Absent GOV1s EVL ± TIPS (with or without trans-TIPS embolization)a
Type 1b LGV Present GOV1s EVL ± TIPS (with or without trans-TIPS embolization)a
Type 2a PGVs, SGVs Absent IGV1s > GOV2s ECI, ATO
Type 2b PGVs, SGVs Present IGV1s > GOV2s RTO ± ATO
Type 3a LGV, PGVs, SGVs Absent GOV2s > IGV1s TIPS with embolization, ECI, ATO
Type 3b LGV, PGVs, SGVs Present GOV2s > IGV1s RTO ± ATO, EVL ± TIPSa

aTIPS is recommended for GOV1s and GOV2s (arising from the LGV) refractory to EVL.

ATO, antegrade transvenous obliteration; ECI, endoscopic cyanoacrylate injection; EVL, endoscopic variceal ligation; GOVs, gastroesophageal varices; IGVs, isolated gastric varices; LGV, left gastric vein; PGVs, posterior gastric veins; RTO, retrograde transvenous obliteration; SGVs, short gastric veins; TIPS, transjugular intrahepatic portosystemic shunt.