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[Endoscopic management of variceal bleeding].
Rev Gastroenterol Mex. 2005 Jan-Mar; 70(1):50-5.RG

Abstract

For the primary prophilaxis of the variceal bleeding, non selective beta-blockers (propanolol, nadolol) are still the mainstay of treatment but endoscopic ligation are becoming more popular Thanks to modern control procedures the acute bleeding mortality has been reduced. Endoscopic ligation is the prefered method for esophageal varices and the cyanoacrylate injection is the better method for fundic varices. Pharmacological therapy with octreotide or terlipresine seems to be effective, specially if endoscopic treatment is not available. TIPS is a good salvage option in case of endoscopic or pharmacologic failure. Endoscopic ligation seems to be the prefered method for secondary prophylaxis, specially compared with sclerotherapy. Some drugs that reduce portal hypertension are a good alternative. It is still very necessary to define technique and criteria of endoscopic variceal eradication to reduce the great variability reported in published trials.

Authors+Show Affiliations

Reyes Dorantes AA
Jefe del Departamento de Endoscopia, Hospital Central Militar México, D.F. angelreyesd@hotmail.com

MeSH

Antihypertensive AgentsEndoscopyEsophageal and Gastric VaricesGastrointestinal HemorrhageHumansLigationPortasystemic Shunt, Transjugular IntrahepaticSclerotherapy

Pub Type(s)

English Abstract
Journal Article
Review

Language

spa

PubMed ID

16170963

Citation

Reyes Dorantes, Angel Andrés. "[Endoscopic Management of Variceal Bleeding]." Revista De Gastroenterologia De Mexico, vol. 70, no. 1, 2005, pp. 50-5.
Reyes Dorantes AA. [Endoscopic management of variceal bleeding]. Rev Gastroenterol Mex. 2005;70(1):50-5.
Reyes Dorantes, A. A. (2005). [Endoscopic management of variceal bleeding]. Revista De Gastroenterologia De Mexico, 70(1), 50-5.
Reyes Dorantes AA. [Endoscopic Management of Variceal Bleeding]. Rev Gastroenterol Mex. 2005 Jan-Mar;70(1):50-5. PubMed PMID: 16170963.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Endoscopic management of variceal bleeding]. A1 - Reyes Dorantes,Angel Andrés, PY - 2005/9/21/pubmed PY - 2005/10/1/medline PY - 2005/9/21/entrez SP - 50 EP - 5 JF - Revista de gastroenterologia de Mexico JO - Rev Gastroenterol Mex VL - 70 IS - 1 N2 - For the primary prophilaxis of the variceal bleeding, non selective beta-blockers (propanolol, nadolol) are still the mainstay of treatment but endoscopic ligation are becoming more popular Thanks to modern control procedures the acute bleeding mortality has been reduced. Endoscopic ligation is the prefered method for esophageal varices and the cyanoacrylate injection is the better method for fundic varices. Pharmacological therapy with octreotide or terlipresine seems to be effective, specially if endoscopic treatment is not available. TIPS is a good salvage option in case of endoscopic or pharmacologic failure. Endoscopic ligation seems to be the prefered method for secondary prophylaxis, specially compared with sclerotherapy. Some drugs that reduce portal hypertension are a good alternative. It is still very necessary to define technique and criteria of endoscopic variceal eradication to reduce the great variability reported in published trials. SN - 0375-0906 UR - https://www.unboundmedicine.com/medline/citation/16170963/[Endoscopic_management_of_variceal_bleeding]_ DB - PRIME DP - Unbound Medicine ER -