Success of medical and surgical management of acute variceal hemorrhage.
Peripheral intravenous Pitressin infusion, use of the Sengstaken-Blakemore tube, or both effectively controlled variceal hemorrhage in 69 percent of patients, allowing an interval of medical management before elective portasystemic shunt surgery. Prolonged preoperative in-hospital management significantly improved hepatic function in initially poor risk patients. This improvement in hepatic function appeared to result in decreased postoperative morbidity and an operative mortality equal to that of good risk patients.
D000328:Adult; D000368:Aged; D004064:Digestive System / Q000098:blood supply*; D005260:Female; D005751:Gastric Lavage; D006471:Gastrointestinal Hemorrhage / Q000188:drug therapy / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008111:Liver Function Tests; D008297:Male; D008875:Middle Aged; D011167:Portacaval Shunt, Surgical; D013164:Splenorenal Shunt, Surgical; D013270:Stomach / Q000098:blood supply*; D013630:Tampons, Surgical; D014648:Varicose Veins / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D014667:Vasopressins / Q000627:therapeutic use
D014667:Vasopressins