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Portal hypertension and varices in patients with liver cirrhosis.
Nurs Stand. 2012 Aug 1-7; 26(48):52-7; quiz 58.NS

Abstract

Portal hypertension is a complication seen in patients with liver cirrhosis and is characterised by high pressure in the portal vein. As portal hypertension worsens, varices can form, leading to increased morbidity and mortality if these rupture. Bleeding can be prevented with pharmacological agents and endoscopic therapy; however, some patients will experience variceal haemorrhage. Medical and nursing management of acute variceal haemorrhage is key to a successful outcome, and after initial resuscitation, endoscopic therapy should be undertaken. Long-term management to prevent re-bleeding may involve surgery to implant shunts, which aim to reduce portal venous pressure. However, patients often require referral to specialist centres for transplant assessment.

Authors+Show Affiliations

Institute of Liver Studies, King's College Hospital, London. danielle.fullwood@nhs.net

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22916658

Citation

Fullwood, Danielle. "Portal Hypertension and Varices in Patients With Liver Cirrhosis." Nursing Standard (Royal College of Nursing (Great Britain) : 1987), vol. 26, no. 48, 2012, pp. 52-7; quiz 58.
Fullwood D. Portal hypertension and varices in patients with liver cirrhosis. Nurs Stand. 2012;26(48):52-7; quiz 58.
Fullwood, D. (2012). Portal hypertension and varices in patients with liver cirrhosis. Nursing Standard (Royal College of Nursing (Great Britain) : 1987), 26(48), 52-7; quiz 58.
Fullwood D. Portal Hypertension and Varices in Patients With Liver Cirrhosis. Nurs Stand. 2012 Aug 1-7;26(48):52-7; quiz 58. PubMed PMID: 22916658.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Portal hypertension and varices in patients with liver cirrhosis. A1 - Fullwood,Danielle, PY - 2012/8/25/entrez PY - 2012/8/25/pubmed PY - 2012/10/12/medline SP - 52-7; quiz 58 JF - Nursing standard (Royal College of Nursing (Great Britain) : 1987) JO - Nurs Stand VL - 26 IS - 48 N2 - Portal hypertension is a complication seen in patients with liver cirrhosis and is characterised by high pressure in the portal vein. As portal hypertension worsens, varices can form, leading to increased morbidity and mortality if these rupture. Bleeding can be prevented with pharmacological agents and endoscopic therapy; however, some patients will experience variceal haemorrhage. Medical and nursing management of acute variceal haemorrhage is key to a successful outcome, and after initial resuscitation, endoscopic therapy should be undertaken. Long-term management to prevent re-bleeding may involve surgery to implant shunts, which aim to reduce portal venous pressure. However, patients often require referral to specialist centres for transplant assessment. SN - 0029-6570 UR - https://www.unboundmedicine.com/medline/citation/22916658/Portal_hypertension_and_varices_in_patients_with_liver_cirrhosis_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=22916658.ui DB - PRIME DP - Unbound Medicine ER -