Management of Acute Variceal Haemorrhage and Prevention of Rebleeding

نویسنده

  • Adrian Stanley
چکیده

Acute variceal bleeding accounts for just over 10% of all causes of upper gastrointestinal bleeding presenting to hospital, with two-thirds of these patients having a history of previous variceal bleeding [1]. It is a medical emergency associated with 10-20% mortality within 6 weeks. However, recent improvements in outcome following variceal haemorrhage have been reported and several important guidelines on management have been published [2-4]. This chapter aims to provide an overview of an evidenced based approach to management of acute oesophageal and gastric variceal haemorrhage and in addition, the prevention of rebleeding. Philip Dunne1* and Adrian Stanley1 1Department of Gastroenterology, Glasgow Royal Infirmary, United Kingdom *Corresponding author: Department of Gastroenterology; Glasgow Royal Infirmary, Glasgow G4 0SF, United Kingdom. Tel: 0141 211 4000; Email: [email protected]

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

تعیین ارزش پیش آگهی معیار بالینی MELD و CTP در خون‌ریزی از واریس مری در بیماران سیروتیک بستری شده در بخش گوارش بیمارستان امام خمینی ارومیه در سال‌های 87-88

  Background & Aims : Risk factors for r ebleeding following acute variceal haemorrhage are incompletely understood. The aim of this study was to determine the predictor validity of model for end stage liver disease (MELD) score and Child-Turcotte-Pugh (CTP) in acute variceal bleeding and rebleeding.   Method : The study included 92 cirrhotic patients of Imam Khomeini hospital. The predictive c...

متن کامل

Management of variceal haemorrhage.

Variceal bleeding is the most important complication of portal hypertension. Mortality due to the first variceal bleeding is very high (50%) and of those surviving a variceal bleeding episode, up to 80% may rebleed. Proper management of the acute variceal bleeding episode, the prevention of rebleeding and primary prophylaxis for variceal haemorrhage are therefore mandatory in order to improve t...

متن کامل

عوامل پیش‌بینی کننده خون‌ریزی مجدد در خون‌ریزی از واریس مری در بیماران بستری در بخش گوارش بیمارستان امام خمینی 87-86

Background and Objective: Esophageal variceal bleeding is associated with a high mortality rate and expensive hospitalization costs. By diagnosing predicting factors of rebleeding at admission, and proper course of action, we can minimize the rates of mortality rebleeding. The aim of this study was to determine the predicting factors of rebleeding in patients hospitalized because of variceal he...

متن کامل

Prognostic Markers in Patients Who Have Recovered from an Acute Variceal Bleeding: Role of HVPG Measurement

Variceal bleeding is one of the most severe complications of cirrhosis which despite recent advances in its management, still carries a high mortality. This situation is especially important in those patients surviving a first episode of variceal bleeding who are at higher risk of recurrent bleeding with an estimated 60% risk within one year after the first bleeding episode. Therefore, preventi...

متن کامل

A multicentre randomised trial comparing octreotide and injection sclerotherapy in the management and outcome of acute variceal haemorrhage

Background—Few studies have compared vasoactive drugs with endoscopic sclerotherapy in the control of acute variceal haemorrhage. Octreotide is widely used for this purpose, but its value remains undetermined. Aims—To compare octreotide with endoscopic sclerotherapy for acute variceal haemorrhage. Patients—Consecutive patients with acute variceal haemorrhage. Methods—Patients were randomised at...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2016