ACR Appropriateness Criteria® Radiologic Management of Gastric Varices.

Journal Article

Hemorrhage, resulting from gastric varies, can be challenging to treat, given the various precipitating etiologies. A wide variety of treatment options exist for managing the diverse range of the underlying disease processes. While cirrhosis is the most common cause for gastric variceal bleeding, occlusion of the portal or splenic vein in noncirrhotic states results in a markedly different treatment paradigm. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Full Text

Duke Authors

Cited Authors

  • Expert Panel on Interventional Radiology, ; Kim, CY; Pinchot, JW; Ahmed, O; Braun, AR; Cash, BD; Feig, BW; Kalva, SP; Knavel Koepsel, EM; Scheidt, MJ; Schramm, K; Sella, DM; Weiss, CR; Hohenwalter, EJ

Published Date

  • May 2020

Published In

Volume / Issue

  • 17 / 5S

Start / End Page

  • S239 - S254

PubMed ID

  • 32370968

Electronic International Standard Serial Number (EISSN)

  • 1558-349X

Digital Object Identifier (DOI)

  • 10.1016/j.jacr.2020.01.017


  • eng

Conference Location

  • United States