PMID: 11338059May 8, 2001Paper

Management of acute variceal haemorrhage

European Journal of Gastroenterology & Hepatology
P Vlavianos, D Westaby

Abstract

Endoscopic therapy and in particular endoscopic variceal banding ligation, in experienced hands, is the treatment of choice for acute variceal bleeding which remains a major cause of death in patients with cirrhosis and portal hypertension. Pharmacological therapy with Glypressin or somatostatin can be useful to gain time when the endoscopic expertise is not available or to help to obtain a clearer endoscopic view. Transjugular intrahepatic porto-systemic stent shunt is currently used for endoscopic failures, producing similar results with the surgical portacaval shunts. Which one of the two should be preferred, since they both work best in relatively compensated patients, should be a balance between the available surgical and radiological expertise, the urgency of the situation and the expected course of the disease.

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Citations

Oct 27, 2004·Archives of Toxicology·Christian Grosse-SiestrupDavid A Groneberg
Mar 16, 2004·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Rafael Romero-CastroJuan M Herrerias-Gutierrez
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May 15, 2015·Expert Review of Gastroenterology & Hepatology·Jennifer L Horsley-Silva, Hugo E Vargas
Aug 4, 2006·Gastroentérologie Clinique Et Biologique·Jean-Pierre Vinel

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