Recent Advances in the Management of Acute Variceal Hemorrhage

Journal of Clinical Medicine

Paolo Feltracco¹  Marco Senzolo²  Alberto Zanetto²  Patrizia Burra²  Giacomo Germani²  Francesco Paolo Russo²  Martina Gambato²  Sarah Shalaby² 

[1] Anesthesiology and Intensive Care Unit, Department of Medicine, Padova University Hospital, 35128 Padova, Italy;Gastroenterology and Multivisceral Transplant Unit, Department of Surgery, Oncology, and Gastroenterology, Padova University Hospital, Via Giustiniani 2, 35128 Padova, Italy;

关键词: cirrhosis;    decompensation;    bleeding;    varices;    survival;    infection;   

DOI  :  10.3390/jcm10173818

来源: DOAJ

【 摘 要 】

Gastrointestinal bleeding is one of the most relevant causes of death in patients with cirrhosis and clinically significant portal hypertension, with gastroesophageal varices being the most frequent source of hemorrhage. Despite survival has improved thanks to the standardization on medical treatment aiming to decrease portal hypertension and prevent infections, mortality remains significant. In this review, our goal is to discuss the most recent advances in the management of esophageal variceal hemorrhage in cirrhosis with specific attention to the treatment algorithms involving the use of indirect measurement of portal pressure (HVPG) and transjugular intrahepatic portosystemic shunt (TIPS), which aim to further reduce mortality in high-risk patients after acute variceal hemorrhage and in the setting of secondary prophylaxis.

【 授权许可】

Unknown