Non-surgical treatment of variceal haemorrhage.
Bleeding from gastro-oesophageal varices is a serious medical emergency associated with high morbidity and mortality. Recent advances in treatment include the use of safer vasoactive agents, endoscopic injection of cyanoacrylate, endoscopic variceal ligation and radiological porto-systemic shunt. This article will discuss these new therapies and suggest an integrated approach to the management of variceal haemorrhage.
Sung
J J
JJ
Department of Medicine, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong.
D002404:Catheterization; D003487:Cyanoacrylates / Q000627:therapeutic use; D004630:Emergencies; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D006801:Humans; D008026:Ligation; D015282:Octreotide / Q000627:therapeutic use; D015911:Sclerotherapy; D013004:Somatostatin / Q000627:therapeutic use; D015607:Stents; D014667:Vasopressins / Q000627:therapeutic use
D003487:Cyanoacrylates; D005765:Gastrointestinal Agents; D014667:Vasopressins; D013004:Somatostatin; D015282:Octreotide