نتایج جستجو برای: variceal bleeding
تعداد نتایج: 59016 فیلتر نتایج به سال:
INTRODUCTION The treatment of portal hypertension is complex and the the best strategy depends on the underlying disease (cirrhosis vs. schistosomiasis), patient's clinical condition and time on it is performed (during an acute episode of variceal bleeding or electively, as pre-primary, primary or secondary prophylaxis). With the advent of new pharmacological options and technical development o...
OBJECTIVE To compare and evaluate the cost and effectiveness of endoscopic variceal ligation (EVL) at emergency plus octreotide versus octreotide alone in the treatment of acute esophageal variceal bleeding in cirrhotic patients. METHODS Seventy-eight patients with active variceal bleeding under emergency endoscope, were assigned to two groups receiving either combined therapy of EVL at emerg...
BACKGROUND A proportion (10%-15%) of patients with variceal bleeding do not respond to medical management and require surgical intervention. METHODS Retrospective analysis of 82 consecutive patients (median age 31 years, range 3-71; 60 male) who underwent salvage surgery for variceal bleeding between 1989 and 2005. RESULTS Immediate control of variceal bleeding was achieved in 78 (95%) pati...
OBJECTIVE To determine rates of survival, long-term patency, and recurrent variceal hemorrhage among patients with alcoholic cirrhosis treated by partial portacaval shunt. DESIGN Single-institution cohort follow-up study of 72 consecutive patients who underwent small-diameter portacaval H-graft shunt with collateral ablation during a 10-year period (1981 through 1990). Subjects were enrolled ...
BACKGROUND & AIMS In a recent randomized international clinical trial (RCT) in high-risk cirrhotic patients with acute variceal bleeding, the early use of transjugular intrahepatic portosystemic shunt (TIPS) was associated with marked and significant reductions in both treatment failure and mortality. The aim of this study was to confirm these results in clinical practice in the same centers of...
With recent progress in treatment modalities, mortality from upper gastrointestinal (UGI) bleeding has decreased appreciably. The aim of this study was to establish how UGI bleeds are managed in Korean patients with cirrhosis and to evaluate treatment outcomes. A total of 479 episodes of acute UGI bleeding in 464 patients with cirrhosis were included during a six-month period at nine tertiary m...
An 81-year-old man with alcoholic cirrhosis presented with hematemesis, melena, and hypotension. Examination revealed ascites and chronic liver disease stigmata. Esophagogastroduodenoscopy (EGD) revealed multiple large columns of esophageal varices. No other bleeding sources were seen. Using a Cook 4, 6, 10 Shooter® (Cook Medical, Bloomington, IN) multi-band ligator, the varix was ligated at th...
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