Role of primary prophylaxis in preventing variceal bleeding in children with gastroesophageal varices
نویسندگان
چکیده
منابع مشابه
Role of endoscopy in primary prophylaxis for esophageal variceal bleeding.
Cirrhosis is the leading cause of portal hypertension in the Western world. From a clinical standpoint, the most significant consequence of portal hypertension is the development of esophageal varices. Despite the many advances in the management of variceal bleeding, it remains a life-threatening complication of portal hypertension. Primary prophylaxis to prevent the first bleeding episode in p...
متن کاملPortal hypertension: pre-primary and primary prophylaxis of variceal bleeding.
In liver cirrhosis, variceal bleeding is the last in a chain of events initiated by the increase in portal pressure (estimated in clinical practice by the hepatic venous pressure gradient). When hepatic venous pressure gradient goes above 10 mmHg the patient is at risk of developing varices, and when hepatic venous pressure gradient reaches 12 mmHg variceal bleeding might develop. Currently, th...
متن کاملEndoscopic band ligation versus propranolol for the primary prophylaxis of variceal bleeding in cirrhotic patients with high risk esophageal varices.
BACKGROUND Gastroesophageal variceal bleeding is a common complication of portal hypertension. Current guidelines recommend thorn-blockers for primary prophylaxis. However, evidence suggests that endoscopic variceal ligation (EVL) reduce bleeding episodes. AIMS To compare endoscopic EVL with propranolol (PPL) for primary prophylaxis of variceal bleeding. METHODS We conducted a randomized co...
متن کاملVariceal Bleeding Prophylaxis: Variceal Banding or Propranolol
Background and Methods: We compared propranolol therapy and endoscopic ligation for the primary prevention of bleeding from esophageal varices.
متن کاملPrimary and secondary prophylaxis of gastric variceal bleeding
Gastric variceal bleeding is a common problem in patients with cirrhosis and is associated with increased morbidity and mortality. Management is complex and includes pharmacotherapy, endoscopic therapy, and shunt placement. Recent studies indicate that endoscopic therapy with tissue adhesives has similar hemostasis rates and outcomes in terms of mortality as shunt placement but has a lower comp...
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ژورنال
عنوان ژورنال: Pediatrics & Neonatology
سال: 2021
ISSN: 1875-9572
DOI: 10.1016/j.pedneo.2021.01.002