ACR Appropriateness Criteria® Radiologic Management of Gastric Varices

Expert Panel on Interventional Radiology:

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)S239-S254
JournalJournal of the American College of Radiology
Issue number5
StatePublished - May 2020


  • AUC
  • Appropriate Use Criteria
  • Appropriateness Criteria
  • Gastric varices
  • Upper gastrointestinal bleeding
  • Variceal hemorrhage

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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