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[Esophageal varices hemorrhage. Endoscopic treatment].
Rev Gastroenterol Mex. 2005 Jul; 70 Suppl 1:35-41.RG

Abstract

The patient with bleeding esophageal varices represents always a challenge to the medical team carrying a high mortality in spite of advances in pharmacologic and endoscopic treatments, notwithstanding that bleeding is just one added complication in the setting of the ailments of portal hypertension. Sclerotherapy, once the treatment of choice, has been displaced in recent year by variceal ligature, with less morbidity and equal success rate, both of them being technically simple. In the same way, variceal ligature has displaced sclerotherapy as treatment for secondary prophylaxis, with less complications and less sessions needed for variceal erradication and bleeding prevention. On the other hand, sclerotherapy is not indicated for patients with large varices, while ligature competes with pharmacologic treatment, some people suggesting the superiority of ligature because of better patient compliance, although probably the best option would be a combination of both. Thus, endoscopic treatment has an important role in this clinical situation, both for diagnosis as for management of active bleeding and primary prophylaxis.

Authors+Show Affiliations

Unidad de Gastroenterología y Endoscopia, Hospital General de Culiacán SSA.

Pub Type(s)

Comparative Study
English Abstract
Journal Article
Review

Language

spa

PubMed ID

17469408

Citation

Gallardo Angulo, V Efrén. "[Esophageal Varices Hemorrhage. Endoscopic Treatment]." Revista De Gastroenterologia De Mexico, vol. 70 Suppl 1, 2005, pp. 35-41.
Gallardo Angulo VE. [Esophageal varices hemorrhage. Endoscopic treatment]. Rev Gastroenterol Mex. 2005;70 Suppl 1:35-41.
Gallardo Angulo, V. E. (2005). [Esophageal varices hemorrhage. Endoscopic treatment]. Revista De Gastroenterologia De Mexico, 70 Suppl 1, 35-41.
Gallardo Angulo VE. [Esophageal Varices Hemorrhage. Endoscopic Treatment]. Rev Gastroenterol Mex. 2005;70 Suppl 1:35-41. PubMed PMID: 17469408.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Esophageal varices hemorrhage. Endoscopic treatment]. A1 - Gallardo Angulo,V Efrén, PY - 2007/5/2/pubmed PY - 2007/6/30/medline PY - 2007/5/2/entrez SP - 35 EP - 41 JF - Revista de gastroenterologia de Mexico JO - Rev Gastroenterol Mex VL - 70 Suppl 1 N2 - The patient with bleeding esophageal varices represents always a challenge to the medical team carrying a high mortality in spite of advances in pharmacologic and endoscopic treatments, notwithstanding that bleeding is just one added complication in the setting of the ailments of portal hypertension. Sclerotherapy, once the treatment of choice, has been displaced in recent year by variceal ligature, with less morbidity and equal success rate, both of them being technically simple. In the same way, variceal ligature has displaced sclerotherapy as treatment for secondary prophylaxis, with less complications and less sessions needed for variceal erradication and bleeding prevention. On the other hand, sclerotherapy is not indicated for patients with large varices, while ligature competes with pharmacologic treatment, some people suggesting the superiority of ligature because of better patient compliance, although probably the best option would be a combination of both. Thus, endoscopic treatment has an important role in this clinical situation, both for diagnosis as for management of active bleeding and primary prophylaxis. SN - 0375-0906 UR - https://www.unboundmedicine.com/medline/citation/17469408/[Esophageal_varices_hemorrhage__Endoscopic_treatment]_ L2 - http://www.diseaseinfosearch.org/result/2658 DB - PRIME DP - Unbound Medicine ER -