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1: Postgrad Med. 2001 Feb;109(2):75-6, 81-6, 89.Click here to read Links

Bleeding esophageal varices. How to treat this dreaded complication of portal hypertension.

Hegab AM, Luketic VA.

Division of Gastoenterology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.

Bleeding esophageal varices, one of the most feared complications of portal hypertension, contribute to the estimated 32,000 deaths annually attributed to cirrhosis. Successful control requires knowledge of the pertinent anatomy, underlying pathophysiology of portal hypertension, and natural history of gastro-esophageal varices. Drs Hegab and Luketic review these topics and discuss the various prophylactic and therapeutic approaches to management, including pharmacologic agents, endoscopic sclerotherapy, and trans-jugular intrahepatic portosystemic shunt (TIPS).

PMID: 11272695 [PubMed - indexed for MEDLINE]