title: [Upper gastrointestinal bleeding in patients with portal hypertension--review of clinical cases from 2002-2008].
abstract: Variceal bleed is the most dangerous complication of portal hypertension in patient with liver cirrhosis. Despite of many years of studies and observations there isn't unequivocal pattern of treatment which may prevent of first time and any further variceal bleeding.
  
  
  OBJECTIVE
  To analyze procedure of treatment that we applied in patients treated in 2002-2008 in our clinic.
  
  
  METHODS
  In our article we analyzed 43 cases of patients with variceal bleeding treated in our clinic in 2002-2008. In all patients it was first episode of variceal haemorrhage. All patients was addicted to alcohol and with advanced liver cirrhosis. In all cases we inserted Sengstaken-Blekmore tube and started pharmacological treatment. If the second haemorrhage was occurred we applied endoscopic procedure with endoscopic variceal ligation.
  
  
  RESULTS
  In all patients treated in our clinic we noted two cases of rebleeding and one fatal cases which occurred during second episode of haemorrhage leading to hypovolemic crisis.
  
  
  CONCLUSIONS
  Basing on medical reports that we have taken, we may put a conclusion that medical treatment that we have applied was correct and terminate the variceal bleeding.
authors.affiliation: Departament of Chest Surgery, General and Oncological Surgery University Hospital No. 2, Medical University of Lodz, Poland.
authors.forename: Jacek
authors.initials: J
authors.lastname: Kordiak
authors.forename: Szymon
authors.initials: S
authors.lastname: Wcisło
authors.forename: Edyta
authors.initials: E
authors.lastname: Santorek-Strumiłło
authors.forename: Rafał
authors.initials: R
authors.lastname: Bartkowiak
authors.forename: Marian
authors.initials: M
authors.lastname: Brocki
authors.forename: Piotr
authors.initials: P
authors.lastname: Misiak
mesh_terms: D000437:Alcoholism / Q000150:complications; D004724:Endoscopy; D004932:Esophageal and Gastric Varices / Q000209:etiology*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000628:therapy*; D006489:Hemostatic Techniques; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008026:Ligation / Q000379:methods; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies