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Unravelling the Downhill Spiral: A Tale of Alcohol, Varices, and a Hidden Stenosis

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Downhill esophageal varices (EVs) were first described in 1964 by Felson and Lessure. They are rare with an incidence rate of 0.5 % in the general population. They usually develop due to an increase in pressure and/or obstruction of the superior vena cava (SVC... ...