title: Gastrointestinal endoscopy in the cirrhotic patient.
abstract: As advances in liver disease continue, including the increasing use of liver transplantation, the endoscopist needs to be familiar with the standards of care and potential complications in the management of the cirrhotic population. This includes both elective endoscopic procedures, such as screening colonoscopies and variceal banding, as well as the acutely bleeding cirrhotic patient. Peri-procedural management and standards of care for acute gastrointestinal hemorrhaging of cirrhotic patients will be emphasized. This article will focus on the plethora of data available to highlight the benefits of endoscopic intervention in the care of patients with liver disease and outline the areas of future emphasis.
authors.affiliation: Division of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, AZ, USA.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Horsley-Silva
authors.forename: Hugo E
authors.initials: HE
authors.lastname: Vargas
mesh_terms: D058109:Airway Management; D019072:Antibiotic Prophylaxis; D001778:Blood Coagulation Disorders / Q000188:drug therapy; D001803:Blood Transfusion; D054810:Deep Sedation / Q000009:adverse effects; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects* / Q000592:standards; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D016558:Hemostasis, Endoscopic / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D010348:Patient Care Team; D018570:Risk Assessment; D059039:Standard of Care; D013997:Time Factors
keywords: cirrhosis; emergent endoscopy; endoscopy; liver disease; portal hypertension; routine endoscopy; variceal bleeding