Letter: pre-emptive TIPSS for variceal bleeding-patient selection is key
نویسندگان
چکیده
منابع مشابه
Variceal bleeding
Approximately 90% of patients with cirrhosis will have developed gastro-oesophageal varices within 10 yr. Oesophageal variceal haemorrhage is a devastating complication of cirrhosis with mortality as high as 25–50%. Therefore, prophylactic measures before the first bleed are crucial. If patients survive a variceal bleed, there is approximately a 70% risk that they will have a further bleed with...
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 کاملEffectiveness of pre-emptive analgesia is unproven
Study Selection Studies were selected if they were randomised controlled trials (RCTs) that compared the outcome when analgesics were given before surgical incision with the outcome when the same medication was given after surgical incision. Studies that compared pre-emptive analgesia with no analgesia or that compared pre-emptive analgesia with pre-emptive analgesia plus analgesia given after ...
متن کاملEffectiveness of pre-emptive analgesia is unproven
Study Selection Studies were selected if they were randomised controlled trials (RCTs) that compared the outcome when analgesics were given before surgical incision with the outcome when the same medication was given after surgical incision. Studies that compared pre-emptive analgesia with no analgesia or that compared pre-emptive analgesia with pre-emptive analgesia plus analgesia given after ...
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.
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ژورنال
عنوان ژورنال: Alimentary Pharmacology & Therapeutics
سال: 2020
ISSN: 0269-2813
DOI: 10.1111/apt.15933