∗ Corresponding author. E-mail address: [email protected] (M. Costa). therapeutic procedures have not yet been established for bleeding from duodenal varices. Endoscopic band ligation, sclerotherapy, transjugular intrahepatic portosystemic shunt, balloon-occluded retrograde transvenous obliteration, and resection of a segment of bleeding site have been used for treatment.2--5 We presen...

PURPOSE Intraoperative transesophageal echocardiography (TEE) has commonly been used for evaluating cardiac function and monitoring hemodynamic parameters during complex surgical cases. Anesthesiologists may be dissuaded from using TEE in orthotopic liver transplantation (OLT) out of concern about rupture of esophageal varices. Complications associated with TEE in OLT were evaluated. METHODS ...

Playing a central role in the modern multidisciplinary management of acute gastroesophageal variceal hemorrhage, endoscopy is essential to stratify patient at risk, control active hemorrhage, and prevent first as well as recurrent bleeding. Before endoscopic procedure, antibiotic prophylaxis along with vasoactive medication is now routine practice. Intravenous erythromycin effectively cleanses ...

Aim: Portal hypertension is a common disease with high mortality and poor prognosis, especially in the cases of bleeding due to portal hypertension, and secondary hypersplenism. Herein, we report a case-series of 6 patients who had bleeding from esophagus varices due to complicated portal hypertension and subsequently underwent splenectomy and selectively devascularization. Our objective was to...

Gastric variceal bleeding is a major complication of portal hypertension and is associated with high morbidity and mortality. While esophageal varices are more common, gastric varices are often more challenging to treat. Balloon-Occluded Retrograde Transvenous Obliteration is an interventional procedure whereby the portosystemic gastrorenal shunt is accessed via the left renal vein and the gast...

BACKGROUND The better treatment modalities for bleeding esophageal varices have improved the prognosis of cirrhosis. AIM To inquire about diagnostic and treatment modalities for esophageal bleeding in Chile. MATERIAL AND METHODS An enquiry about diagnosis and treatment of esophageal bleeding was designed and electronically sent to public and private health institutions that could admit pati...

Burroughs, A.K., Hamilton, G. Phillips, A., Mezzanotte, G., Mclntyre, N. and Hobbs, K.E.F. (1989) A comparison of sclerotherapy with staple transection of the esophagus for the emergency control of bleeding from esophagus varices. The New England Journal of Medicine; 321:857-862 We compared two procedures for the emergency treatment of bleeding esophageal varices in patients who did not respond...

INTRODUCTION Detection of hepatocellular carcinoma (HCC) in cirrhotic patients remains a serious, unsolved problem, and the risk factors for acute variceal bleeding (AVB) in HCC patients remain unclear. This study aimed to determine the in-hospital mortality (IHM) and factors influencing the clinical outcomes of AVB in patients with liver cirrhosis and HCC. METHODS This was a retrospective, n...

Squamous cell carcinomas of esophagus are responsible for more than 80% of esophageal malignancies in Turkey. Idiopathic portal hypertension is a rare underlying cause of esophageal variceal bleeding. In such cases, detection of concomitant esophageal squamous cell cancer is also a rare occurrence. We report an unusual case of bleeding esophageal varices secondary to idiopathic portal hypertens...

A total of 72 patients were operated for bleeding esophageal varices over five years. Cause of portal hypertension was cirrhosis in 33, Schistosomal fibrosis in 23 and a combination of the two diseases in 3 cases. Biopsy was not available in 13 patients. Fifty-eight patients were child grade A and B, while 14 patients were grade C. Overall, there were 16 hospital deaths (22.2%) and 28 patients ...