Bleeding oesophageal varices ROGER
نویسنده
چکیده
IN BRINGING this Symposium to a close, I shall deal with one of the most dramatic and lethal complications of liver disease-rupture of an oesophageal varix. These patients die from loss of blood or liver failure, or more usually, a combination of both factors. The development of liver failure with increasing jaundice, ascites and hepatic coma is inevitable if bleeding is allowed to continue. The haemorrhage causes a decrease in hepatic blood flow with resulting hepatic anoxia. Another factor contributing to the hepatic encephalopathy is the absorbed load of nitrogenous breakdown products from the blood within the lumen of the gut. When confronted with such patients there are three aspects to be considered.
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