Controversies and certitudes on the upper digestive hemorrhage through rupture of esophageal varices. II. The therapy of portal hypertension and of variceal bleeding.
The present-day therapy of portal hypertension and of variceal bleeding includes new drugs (propranolol, glypressin, somatostatin, a.o.) and methods of hemostasis (variceal sclerotherapy). This second part of a paper concerned with the upper digestive hemorrhage through rupture of the esophageal varices presents the main drug therapies and other various methods used to decrease the portal pressure, to achieve a direct hemostasis in case of active variceal bleeding and to prevent the rebleedings.
Voiculescu
M
M
Clinic of Internal Medicine, Fundeni Hospital, Bucharest, Romania.
D002404:Catheterization; D004630:Emergencies; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000517:prevention & control / Q000628:therapy*; D006488:Hemostasis, Surgical / Q000379:methods; D006490:Hemostatics / Q000009:adverse effects / Q000627:therapeutic use; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000628:therapy*; D012008:Recurrence; D012422:Rupture, Spontaneous; D012597:Sclerosing Solutions / Q000627:therapeutic use
D006490:Hemostatics; D012597:Sclerosing Solutions