Management of oesophageal varices.
Beta-blockers are the treatment of choice to prevent the first episode of variceal bleeding and further rebleeding episodes. In acute bleeding all patients should receive pharmacological treatment with vasoconstrictors and endoscopic treatment. Failure of therapy should lead to consideration of transjugular intrahepatic portosystemic shunting.
Dagher
L
L
Royal Free Hospital NHS Trust, London.
Patch
D
D
Burroughs
A
A
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002985:Clinical Protocols; D004932:Esophageal and Gastric Varices / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy*; D006801:Humans; D008026:Ligation / Q000379:methods; D015282:Octreotide / Q000627:therapeutic use; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000379:methods; D015911:Sclerotherapy / Q000379:methods; D013004:Somatostatin / Q000627:therapeutic use; D014667:Vasopressins / Q000627:therapeutic use
D000319:Adrenergic beta-Antagonists; D000900:Anti-Bacterial Agents; D014667:Vasopressins; D013004:Somatostatin; D015282:Octreotide