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Review
. 2014 Dec;43(4):819-33.
doi: 10.1016/j.gtc.2014.08.011. Epub 2014 Sep 27.

Nonendoscopic management strategies for acute esophagogastric variceal bleeding

Sanjaya K Satapathy  1 , Arun J Sanyal  2
Affiliations
Review

Nonendoscopic management strategies for acute esophagogastric variceal bleeding

Sanjaya K Satapathy et al. Gastroenterol Clin North Am. 2014 Dec.

Abstract

Acute variceal bleeding is a potentially life-threatening complication of portal hypertension. Management consists of emergent hemostasis, therapy directed at hemodynamic resuscitation, protection of the airway, and prevention and treatment of complications including prophylactic use of antibiotics. Endoscopic treatment remains the mainstay in the management of acute variceal bleeding in combination with pharmacotherapy aimed at reducing portal pressure. This article intends to highlight only the current nonendoscopic treatment approaches for control of acute variceal bleeding.

Keywords: BRTO; Portal hypertension; Portosytemic shunt; TIPS; Variceal bleeding; Variceal hemorrhage; Varices.

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Conflict of interest statement

Author disclosures:

Authors disclose no direct financial interest in the subject matter discussed in the article. No grants received in preparation of this manuscript.

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