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Hepatology International
Erschienen in: Hepatology International 1/2018

20.06.2017 | Special Issue - Portal Hypertension

Acute variceal bleeding: risk stratification and management (including TIPS)

verfasst von: Virginia Hernández-Gea, Claudia Berbel, Anna Baiges, Juan C. García-Pagán

Erschienen in: Hepatology International | Sonderheft 1/2018

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Abstract

Acute variceal bleeding should be suspected in all patients with cirrhosis presenting with upper gastrointestinal bleeding. Vasoactive drugs and prophylactic antibiotics must be started as soon as possible, even before performing the diagnostic endoscopy. Once the patient is hemodynamically stable, upper gastrointestinal endoscopy should be performed in order to confirm the diagnosis and provide endoscopic therapy (preferably banding ligation). After this initial approach, the most appropriate therapy to prevent both early and late rebleeding must be instituted following a risk stratification strategy. The present chapter will focus on the initial management of patients with acute variceal bleeding, including general management and hemostatic therapies, as well as the available treatments in case of failure to control bleeding or development of rebleeding.
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Metadaten
Titel
Acute variceal bleeding: risk stratification and management (including TIPS)
verfasst von
Virginia Hernández-Gea
Claudia Berbel
Anna Baiges
Juan C. García-Pagán
Publikationsdatum
20.06.2017
Verlag
Springer India
Erschienen in
Hepatology International / Ausgabe Sonderheft 1/2018
Print ISSN: 1936-0533
Elektronische ISSN: 1936-0541
DOI
https://doi.org/10.1007/s12072-017-9804-3

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