A ten years old female child with recurrent melena. Her upper endoscopy revealed an isolated lesion in the gastric fundus that could be IGV-1 without esophageal varices nor PHG.
Endoscopic variceal band ligation (EVL) and Histoacryl injection are the most-used techniques to control or prevent variceal bleeding. Furthermore, aggravated coagulation state, decreased number of platelets and ascites may be meaningful in predicting the occurrence of rebleeding. Gastric varices should be treated with esophagus varices at the same time. Some aspects should be noticed in controlling varices bleeding and reducing complication.