Nonendoscopic Management Strategies for Acute Esophagogastric Variceal Bleeding

被引：37

作者：

Satapathy, Sanjaya K. ^{[1
]}

Sanyal, Arun J. ^{[2
]}

机构：

[1] Univ Tennessee, Hlth Sci Ctr, Div Surg, Methodist Univ Hosp Transplant Inst, Memphis, TN 38104 USA

[2] Virginia Commonwealth Univ, Div Gastroenterol, Dept Internal Med, Sch Med, Richmond, VA 23298 USA

来源：

GASTROENTEROLOGY CLINICS OF NORTH AMERICA | 2014年 / 43卷 / 04期

关键词：

Portal hypertension; Variceal hemorrhage; Variceal bleeding; Varices; TIPS; Portosytemic shunt; BRTO; INTRAHEPATIC PORTOSYSTEMIC SHUNT; RETROGRADE TRANSVENOUS OBLITERATION; VASOPRESSIN PLUS NITROGLYCERIN; SENGSTAKEN-BLAKEMORE TUBE; CONTROLLED CLINICAL-TRIAL; BLOOD-VOLUME RESTITUTION; GASTRIC FUNDAL VARICES; PORTAL-HYPERTENSION; ESOPHAGEAL-VARICES; CIRRHOTIC-PATIENTS;

D O I：

10.1016/j.gtc.2014.08.011

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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.

引用

页码：819 / +

页数：16

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