Management of Acute Variceal Bleeding

Management of Acute Variceal Bleeding

Acute variceal bleeding could be a fatal complication in patients with liver cirrhosis. In patients with decompensated liver cirrhosis accompanied by ascites or hepatic encephalopathy, acute variceal bleeding is associated with a high mortality rate. Therefore, timely endoscopic hemostasis and prevention of relapse of bleeding are most important. The treatment goals for acute variceal bleeding ...

Management of variceal bleeding.

Variceal hemorrhage complicates cirrhosis in as many as 50% of patients and results in considerable morbidity and mortality. This review covers all areas of importance in the prevention and treatment of this area, highlighting recent developments. Primary prophylaxis prevents first bleed, and pharmacotherapy with beta-blockade is the most widely accepted option. In an acute variceal hemorrhage,...

Treatment of acute variceal bleeding.

UNLABELLED The management of variceal bleeding remains a clinical challenge with a high mortality. Standardisation in supportive and new therapeutic treatments seems to have improved survival within the last 25 years. Although overall survival has improved in recent years, mortality is still closely related to failure to control initial bleeding or early re-bleeding occurring in up to 30-40% of...

Treatment of acute variceal bleeding

Acute variceal bleeding is a life-threatening complication in patients with portal hypertension. Although overall survival may be improving, mortality is still closely related to failure to control hemorrhage or early re-bleeding. Factors that influence this failure include severity of liver disease and active bleeding during endoscopy. In addition increased portal pressure has been proposed as...

Clinical Practice Guidelines Management of Acute Variceal Bleeding