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Endoscopic hemostasis in acute esophageal variceal bleeding.
Gastroenterol Clin North Am. 2014 Dec; 43(4):795-806.GC

Abstract

Acute variceal bleeding (AVB) is a milestone event for patients with portal hypertension. Esophageal varices bleed because of an increase in portal pressure that causes the variceal wall to rupture. AVB in a patient with cirrhosis and portal hypertension is associated with significant morbidity and mortality. The initial management of these patients includes proper resuscitation, antibiotic prophylaxis, pharmacologic therapy with vasoconstrictors, and endoscopic therapy. Intravascular fluid management, timing of endoscopy, and endoscopic technique are key in managing these patients. This article reviews the current endoscopic hemostatic strategies for patients with AVB.

Authors+Show Affiliations

GI/Endoscopy Unit, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi-Sunyer (IDIBAPS), Ciber de Enfermedades Hepáticas y Digestivas (CIBEREHD), Barcelona, Spain.Barcelona Hepatic Hemodynamic Laboratory, Liver Unit, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi-Sunyer (IDIBAPS), Ciber de Enfermedades Hepáticas y Digestivas (CIBEREHD), Barcelona, Spain.Barcelona Hepatic Hemodynamic Laboratory, Liver Unit, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi-Sunyer (IDIBAPS), Ciber de Enfermedades Hepáticas y Digestivas (CIBEREHD), Barcelona, Spain.Barcelona Hepatic Hemodynamic Laboratory, Liver Unit, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi-Sunyer (IDIBAPS), Ciber de Enfermedades Hepáticas y Digestivas (CIBEREHD), Barcelona, Spain. Electronic address: jcgarcia@clinic.ub.es.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

25440926

Citation

Cárdenas, Andrés, et al. "Endoscopic Hemostasis in Acute Esophageal Variceal Bleeding." Gastroenterology Clinics of North America, vol. 43, no. 4, 2014, pp. 795-806.
Cárdenas A, Baiges A, Hernandez-Gea V, et al. Endoscopic hemostasis in acute esophageal variceal bleeding. Gastroenterol Clin North Am. 2014;43(4):795-806.
Cárdenas, A., Baiges, A., Hernandez-Gea, V., & Garcia-Pagan, J. C. (2014). Endoscopic hemostasis in acute esophageal variceal bleeding. Gastroenterology Clinics of North America, 43(4), 795-806. https://doi.org/10.1016/j.gtc.2014.08.009
Cárdenas A, et al. Endoscopic Hemostasis in Acute Esophageal Variceal Bleeding. Gastroenterol Clin North Am. 2014;43(4):795-806. PubMed PMID: 25440926.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic hemostasis in acute esophageal variceal bleeding. AU - Cárdenas,Andrés, AU - Baiges,Anna, AU - Hernandez-Gea,Virginia, AU - Garcia-Pagan,Juan Carlos, Y1 - 2014/09/29/ PY - 2014/12/3/entrez PY - 2014/12/3/pubmed PY - 2015/7/23/medline KW - Acute variceal bleeding KW - Endoscopy KW - Hemostasis KW - Portal hypertension SP - 795 EP - 806 JF - Gastroenterology clinics of North America JO - Gastroenterol Clin North Am VL - 43 IS - 4 N2 - Acute variceal bleeding (AVB) is a milestone event for patients with portal hypertension. Esophageal varices bleed because of an increase in portal pressure that causes the variceal wall to rupture. AVB in a patient with cirrhosis and portal hypertension is associated with significant morbidity and mortality. The initial management of these patients includes proper resuscitation, antibiotic prophylaxis, pharmacologic therapy with vasoconstrictors, and endoscopic therapy. Intravascular fluid management, timing of endoscopy, and endoscopic technique are key in managing these patients. This article reviews the current endoscopic hemostatic strategies for patients with AVB. SN - 1558-1942 UR - https://www.unboundmedicine.com/medline/citation/25440926/Endoscopic_hemostasis_in_acute_esophageal_variceal_bleeding_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0889-8553(14)00099-5 DB - PRIME DP - Unbound Medicine ER -