Format

Send to

Choose Destination
See comment in PubMed Commons below
J Med Life. 2011 Nov 14;4(4):395-8. Epub 2011 Nov 24.

The news of treatment of variceal upper gastrointestinal bleeding.

Author information

1
University Emergency Hospital, Bucharest Romania. gabitiuca@yahoo.com

Abstract

Variceal bleeding is one of the dreaded complications of portal hypertension. Although its prognosis has improved over the last several decades, it still carries substantial mortality. Although most portal hypertensive bleeds result from the ruptured distal esophageal varices, bleeding from other sources such gastric varices, portal hypertensive gastropathy, and ectopic varices can lead to clinically significant bleeding. Variceal bleeding typically presents as massive gastrointestinal (GI) bleeding with hematemesis, melena or hematochezia. In general, the terapeutic aims of management are to initially correct hypovolemia, to control bleeding, to prevent complications of bleeding, such as infection and renal failure and to prevent early rebleeding. The treatment of bleeding esophageal varices differs substantially foom the treatment of other lesions of the upper gastrointestinal tract. Moreover, patients with esophageal varices typically have severe liver disease and thus are likely from poor nutrition, blood clotting disorders, and encephalopathy, all of which can adversaly affect morbidity and mortality.

KEYWORDS:

encephalopathy; mortality; rebleeding; severe liver disease; stabilization of the patient’s hemodynamic status

PMID:
22514572
PMCID:
PMC3227155
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Support Center