Endoscopic Management of Portal Hypertension
نویسندگان
چکیده
Cirrhosis is the leading cause of portal hypertension worldwide, with the development of bleeding gastroesophageal varices being one of the most life-threatening consequences. Endoscopy plays an indispensible role in the diagnosis, staging, and prophylactic or active management of varices. With the expected future refinements in endoscopic technology, capsule endoscopy may one day replace traditional gastroscopy as a diagnostic modality, whereas endoscopic ultrasound may more precisely guide interventional therapy for gastric varices.
منابع مشابه
Management of Portal Hypertension in Children
Management of portal hypertension in children has evolved over the past several decades. Portal hypertension can result from intrahepatic or extrahepatic causes. Management should be tailored to the child based on the etiology of the portal hypertension and on the functionality of the liver. The most serious complication of portal hypertension is gastroesophageal variceal bleeding, which has a ...
متن کاملEndoscopic hemostasis in acute esophageal variceal bleeding.
Acute variceal bleeding (AVB) is a milestone event for patients with portal hypertension. Esophageal varices bleed because of an increase in portal pressure that causes the variceal wall to rupture. AVB in a patient with cirrhosis and portal hypertension is associated with significant morbidity and mortality. The initial management of these patients includes proper resuscitation, antibiotic pro...
متن کاملDrugs 2008; 68 (16): 2303-2324
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2303 1. Pathophysiology of Portal Hypertension and Variceal Bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2305 2. Evaluation of Portal Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
متن کاملEndoscopic Management of Bleeding Ectopic Varices With Histoacryl
Bleeding from antral and duodenal varices is an uncommon feature in patients with portal hypertension. We report a patient with cirrhosis and portal vein thrombosis, who had a massive bleed from antral and duodenal varices. Bleeding was controlled with endoscopic injection of varices using histoacryl. Endoscopic treatment and the relatively uncommon occurrence of antral and duodenal varices are...
متن کاملThe use of transjugular intrahepatic portosystemic stent shunt (TIPS) in the management of portal hypertensive bleeding.
Acute esophageal variceal hemorrhage is a terrible complication of portal hypertension and. rebleeding is very common in survivors of acute variceal bleeding. Traditional medical management options include the use of vasoconstrictor, balloon tamponade, and endoscopic therapy. Though endoscopic therapy has achieved successful hemostasis in the majority of acute variceal bleeding episodes, the ou...
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عنوان ژورنال:
دوره 2012 شماره
صفحات -
تاریخ انتشار 2012