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Erschienen in: Hepatology International 1/2018

07.11.2017 | Special Issue - Portal Hypertension

Endoscopic treatments for portal hypertension

verfasst von: Gin-Ho Lo

Erschienen in: Hepatology International | Sonderheft 1/2018

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Abstract

Acute esophageal variceal hemorrhage is a dreaded complication of portal hypertension. Its management has evolved rapidly in recent years. Endoscopic therapy is often employed to arrest bleeding varices as well as to prevent early rebleeding. The combination of vasoconstrictor and endoscopic therapy is superior to vasoconstrictor or endoscopic therapy alone for control of acute esophageal variceal hemorrhage. After control of acute variceal bleeding, combination of banding ligation and beta-blockers is generally recommended to prevent variceal rebleeding. To prevent the catastrophic event of acute variceal bleeding, endoscopic banding ligation is an important tool in the prophylaxis of first bleeding. Endoscopic obturation with cyanoacrylate is usually utilized to arrest acute gastric variceal hemorrhage as well as to prevent rebleeding. It can be concluded that endoscopic therapies play a pivotal role in management of portal hypertensive bleeding.
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Metadaten
Titel
Endoscopic treatments for portal hypertension
verfasst von
Gin-Ho Lo
Publikationsdatum
07.11.2017
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/s12072-017-9828-8

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