Variceal Hemorrhage
نویسندگان
چکیده
منابع مشابه
Management of Variceal Hemorrhage
Variceal hemorrhage is a frequent and lethal complication of portal hypertension. Bleeding occurs in 30%-40% of patients with cirrhosis and varices. The first episode of variceal bleeding is associated with a high mortality as well as a high incidence of re-bleeding. Thus, management of variceal hemorrhage should be categorized into 3 phases: primary prophylaxis (prevention of the first episode...
متن کاملPortal hypertension and variceal hemorrhage.
Portal hypertension, a major hallmark of cirrhosis, is defined as a portal pressure gradient exceeding 5 mm Hg. In portal hypertension, porto-systemic collaterals decompress the portal circulation and give rise to varices. Successful management of portal hypertension and its complications requires knowledge of the underlying pathophysiology, the pertinent anatomy, and the natural history of the...
متن کاملManagement of gastric variceal hemorrhage
Gastric varices represent an inhomogeneous entity morphologically, topographically and hemodynamically. Hence proper classification is mandatory not only to prognosticate but also to determine optimal therapeutic option. Although a number of classifications based on variceal location, morphology and color have been proposed, the one proposed by Sarin et al2 is most widely used and has been reco...
متن کاملHepatic Angiosarcoma Associated with Esophageal Variceal Hemorrhage
Primary hepatic angiosarcoma is a very rare malignancy with a poor prognosis. Because patients present with no specific symptoms, the cancer can grow undetected and most cases are diagnosed too late for resection. We present the case of a 78-year-old Japanese man admitted to our hospital with massive hematemesis and melena. A total gastrectomy had previously been performed on the patient to tre...
متن کاملTerlipressin for acute esophageal variceal hemorrhage.
BACKGROUND Terlipressin (triglycyl lysine vasopressin) is a synthetic analogue of vasopressin, which has been used in the treatment of acute variceal hemorrhage. In contrast to vasopressin, terlipressin can be administered as intermittent injections instead of continuous intravenous infusion and it has a safer adverse reactions profile. However, its effectiveness remains uncertain. OBJECTIVES...
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ژورنال
عنوان ژورنال: Gastroenterology
سال: 1982
ISSN: 0016-5085
DOI: 10.1016/s0016-5085(82)80264-3