[Complications of liver cirrhosis: oesophageal varices, ascites and hepato-cellular carcinoma].
The principal treatment for bleeding oesophageal varices is endoscopic ligation. Non-cardioselective beta-blockers are the gold-standard of primary prophylaxis. The principal treatment for ascites is a salt-free diet and diuretics, mainly spironolactone, if necessary associated with a loop diuretic. In refractory ascites, paracentesis or installation of a transjugular intrahepatic portosystemic shunt (TIPS) are two possible treatment options. Cirrhosis patients are at higher risk of developing hepato-cellular carcinoma. Surgery is only possible in a small number of cases. Percutaneous destruction techniques have nearly the same survival rate as that obtained by surgery and should be proposed to patients where surgery is not an option.
Troillet
F X
FX
Service de chirurgie viscérale, CHUV, Lausanne. Francois-Xavier.Troillet@chuv.hospvd.ch
Halkic
N
N
Froehlich
F
F
Moradpour
D
D
Gonvers
J J
JJ
Denys
A
A
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D001201:Ascites / Q000209:etiology* / Q000628:therapy*; D006528:Carcinoma, Hepatocellular / Q000209:etiology* / Q000601:surgery*; D004724:Endoscopy; D004932:Esophageal and Gastric Varices / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008103:Liver Cirrhosis / Q000150:complications*; D008113:Liver Neoplasms / Q000209:etiology* / Q000601:surgery*
D000319:Adrenergic beta-Antagonists