[The place of endoscopic treatment in portal hypertension].
A POTENTIALLY SEVERE EVENT: Upper gastrointestinal haemorrhage in a cirrhotic patient is always extremely serious, particularly in the case of rupture of the oesophageal varices, which is the most frequent cause. THE TWO POLES OF TREATMENT: Early vasoactive treatment permits elastic ligature in optimal conditions using an endoscope. The prevention of other complications of cirrhosis is an essential element in the management of these patients.
Lesur
Gilles
G
Service d'hépato-gastroentérologie, Hôpital Ambroise Paré, 92104 Boulogne Cedex.
D000208:Acute Disease; D004630:Emergencies; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000628:therapy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D016558:Hemostasis, Endoscopic; D006490:Hemostatics / Q000008:administration & dosage / Q000627:therapeutic use; D006501:Hepatic Encephalopathy / Q000517:prevention & control; D006728:Hormones / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000188:drug therapy / Q000628:therapy*; D008026:Ligation; D008103:Liver Cirrhosis / Q000150:complications; D015282:Octreotide / Q000008:administration & dosage / Q000627:therapeutic use; D012008:Recurrence; D012307:Risk Factors; D012421:Rupture; D015911:Sclerotherapy; D012771:Shock, Hemorrhagic / Q000517:prevention & control; D013004:Somatostatin / Q000008:administration & dosage / Q000627:therapeutic use; D014667:Vasopressins / Q000008:administration & dosage / Q000627:therapeutic use
D006490:Hemostatics; D006728:Hormones; D014667:Vasopressins; D013004:Somatostatin; D015282:Octreotide