Endoscopic Management of the Acute Variceal Bleeding Event

Bleau, Brian L.

doi:10.1016/s1052-5157(18)30203-4

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Cited by 3 publications

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“…Holderman et al reported that the complications of EVL included injury to the pharynx and proximal esophagus, transient vocal cord paralysis, varix rupture, and free esophageal perforation [10]. Many of these complications can be avoided with the use of less traumatic overtube and multiband devices, which do not require overtube [11]. The perforation of the esophagus due to EVL is unusual.…”

Section: Discussionmentioning

confidence: 99%

Esophageal Rupture After Endoscopic Banding Ligation for Esophageal Varices Bleeding

Chao

Lin

et al. 2002

J Intensive Care Med

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Section: Discussionmentioning

confidence: 99%

Esophageal Rupture After Endoscopic Banding Ligation for Esophageal Varices Bleeding

Chao

Lin

et al. 2002

J Intensive Care Med

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Management of portal hypertension

2002

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Portal hypertension (PHT) is common in children and a majority of cases in India are constituted by extrahepatic portal venous obstruction or cirrhosis of liver. Morbidity and mortality in this condition is related to variceal bleeding, most commonly from esophageal varices. Acute variceal bleeding is best controlled by endoscopic therapy. Somatostatin and octreotide are useful in acute variceal bleeding as a supplementary therapy. Acute variceal bleeding uncontrolled by medical therapy merits preferably a shunt surgery or devascularization depending upon etiology of PHT and expertise of the surgeon. Acute variceal bleeding originating from gastric varices can be effectively controlled by endoscopic injection of tissue adhesive agent (n-butyl 2 cyanoacrylate). Eradication of esophageal varices by endoscopic measures (sclerotherapy or band ligation) is successful in prevention of recurrence of bleeding. Surgical portosystemic shunts especially in non-cirrhotic PHT are successful in achieving portal decompression and significant reduction in recurrence of variceal bleeding. Role of beta-blockers in primary prophylaxis of variceal bleeding in children still remains to be substantiated.

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2000

Journal of Clinical Laser Medicine & Surgery

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Endoscopic Management of the Acute Variceal Bleeding Event

Cited by 3 publications

References 71 publications

Esophageal Rupture After Endoscopic Banding Ligation for Esophageal Varices Bleeding

Esophageal Rupture After Endoscopic Banding Ligation for Esophageal Varices Bleeding

Management of portal hypertension

Laser Literature Watch

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