2014
DOI: 10.1590/s0102-67202014000200011
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Management of variceal hemorrhage: current concepts

Abstract: IntroductionThe treatment of portal hypertension is complex and the the best strategy depends on the underlying disease (cirrhosis vs. schistosomiasis), patient's clinical condition and time on it is performed (during an acute episode of variceal bleeding or electively, as pre-primary, primary or secondary prophylaxis). With the advent of new pharmacological options and technical development of endoscopy and interventional radiology treatment of portal hypertension has changed in recent decades.AimTo review th… Show more

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Cited by 26 publications
(23 citation statements)
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“…Non-selective B-blockers among PPF patients with varices have been reported elsewhere as a potential pharmacological measure for primary and secondary prevention of variceal bleeding [43]. The NSBB could be combined with variceal ligation (EVL) among those with large varices either with or without prior bleeding [44][45][46]. In the current body of literature in SSA, no report was available on the use and effect of NSBB on primary prevention of variceal bleeding.…”
Section: Discussionmentioning
confidence: 99%
“…Non-selective B-blockers among PPF patients with varices have been reported elsewhere as a potential pharmacological measure for primary and secondary prevention of variceal bleeding [43]. The NSBB could be combined with variceal ligation (EVL) among those with large varices either with or without prior bleeding [44][45][46]. In the current body of literature in SSA, no report was available on the use and effect of NSBB on primary prevention of variceal bleeding.…”
Section: Discussionmentioning
confidence: 99%
“…Atendimento inicial É fundamental no manejo: a reposição volêmica, controle do sangramento com terapêutica farmacológica e/ou endoscópica e o controle de infecções 10 .…”
Section: Métodos Terapêuticos De Escolhaunclassified
“…Qualquer intervenção tomada para prevenir o primeiro episódio de sangramento consiste na profilaxia primária 8,9,10 . Já a profilaxia secundária se refere a prevenção de ressangramento e deve ser realizado em torno de 2 semanas após o primeiro episódio de sangramento 8,10,11,12 .…”
Section: Introductionunclassified