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Conservative treatment of upper gastrointestinal bleeding in portal hypertension.
Hepatogastroenterology. 1991 Oct; 38(5):350-4.H

Abstract

The main aim of conservative treatment of upper gastrointestinal bleeding in portal hypertension is aim to treat and prevent esophageal variceal hemorrhage. Controlled trials show that the hemostasis rate following vaso-active therapy (vasopressin and analogues, somatostatin) is only slightly superior to the spontaneous hemostasis rate. Complications caused by vasopressin treatment can be avoided by concomitant application of nitroglycerin or by alternative treatment with somatostatin. Balloon tamponade is slightly superior to vasopressin for arresting variceal hemorrhage. Injection sclerotherapy influences acute bleeding most positively. Analysis of controlled trials favors sclerotherapy for prophylaxis of rebleeding, but beta-adrenoceptor blockers appear to be almost equally good.

Authors+Show Affiliations

Medical Department II, Klinikum Grosshadern, University of Munich, F.R.G.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

1684947

Citation

Sauerbruch, T, and G Fischer. "Conservative Treatment of Upper Gastrointestinal Bleeding in Portal Hypertension." Hepato-gastroenterology, vol. 38, no. 5, 1991, pp. 350-4.
Sauerbruch T, Fischer G. Conservative treatment of upper gastrointestinal bleeding in portal hypertension. Hepatogastroenterology. 1991;38(5):350-4.
Sauerbruch, T., & Fischer, G. (1991). Conservative treatment of upper gastrointestinal bleeding in portal hypertension. Hepato-gastroenterology, 38(5), 350-4.
Sauerbruch T, Fischer G. Conservative Treatment of Upper Gastrointestinal Bleeding in Portal Hypertension. Hepatogastroenterology. 1991;38(5):350-4. PubMed PMID: 1684947.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Conservative treatment of upper gastrointestinal bleeding in portal hypertension. AU - Sauerbruch,T, AU - Fischer,G, PY - 1991/10/1/pubmed PY - 1991/10/1/medline PY - 1991/10/1/entrez SP - 350 EP - 4 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 38 IS - 5 N2 - The main aim of conservative treatment of upper gastrointestinal bleeding in portal hypertension is aim to treat and prevent esophageal variceal hemorrhage. Controlled trials show that the hemostasis rate following vaso-active therapy (vasopressin and analogues, somatostatin) is only slightly superior to the spontaneous hemostasis rate. Complications caused by vasopressin treatment can be avoided by concomitant application of nitroglycerin or by alternative treatment with somatostatin. Balloon tamponade is slightly superior to vasopressin for arresting variceal hemorrhage. Injection sclerotherapy influences acute bleeding most positively. Analysis of controlled trials favors sclerotherapy for prophylaxis of rebleeding, but beta-adrenoceptor blockers appear to be almost equally good. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/1684947/Conservative_treatment_of_upper_gastrointestinal_bleeding_in_portal_hypertension_ L2 - http://www.diseaseinfosearch.org/result/5881 DB - PRIME DP - Unbound Medicine ER -