The Use of Vasoconstrictors in Acute Variceal Bleeding: How Long Is Enough?

被引:6
作者
Lo, Gin-Ho [1 ]
机构
[1] E DA Hosp, Dept Med Res, Div Gastroenterol, 1 Yi Da Rd, Kaohsiung 824, Taiwan
关键词
Acute variceal bleeding; Sclerotherapy; Vasoconstrictors; Banding ligation; ESOPHAGEAL-VARICES; DOUBLE-BLIND; ENDOSCOPIC TREATMENT; CONTROLLED-TRIAL; SCLEROTHERAPY; LIGATION; OCTREOTIDE; HEMORRHAGE; SOMATOSTATIN; TERLIPRESSIN;
D O I
10.5946/ce.2018.084
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Vasoconstrictors are often used as the first line therapy for acute esophageal variceal hemorrhage. They might also be used for a few days after endoscopic therapy to prevent early rebleeding. International guidelines recommend the use of vasoconstrictor therapy when acute esophageal variceal hemorrhage is suspected and continuation of the therapy until 3 to 5 days after endoscopic treatment. However, the duration of use of vasoconstrictors after endoscopic therapy is not clear. This review shows that if variceal bleeding is successfully controlled by endoscopic variceal ligation, the combination of vasoconstrictors can be reduced to less than 1 day.
引用
收藏
页码:36 / 39
页数:4
相关论文
共 30 条
[1]   Terlipressin vs. Octreotide in Bleeding Esophageal Varices as an Adjuvant Therapy With Endoscopic Band Ligation: A Randomized Double-Blind Placebo-Controlled Trial [J].
Abid, Shahab ;
Jafri, Wasim ;
Hamid, Saeed ;
Salih, Mohammad ;
Azam, Zahid ;
Mumtaz, Khalid ;
Shah, Hasnain Ali ;
Abbas, Zaigham .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2009, 104 (03) :617-623
[2]   Early administration of somatostatin and efficacy of sclerotherapy in acute oesophageal variceal bleeds: the European acute bleeding oesophageal variceal episodes (ABOVE) randomised trial [J].
Avgerinos, A ;
Nevens, F ;
Raptis, S ;
Fevery, J ;
Armonis, A ;
Manolakopoulos, S ;
Poulianos, G ;
Tzathas, C ;
Katsaros, D ;
Soutos, D ;
Zacharopoulose, A ;
Adler, M ;
Bourgeois, N ;
Bac, DJ ;
VanBuuren, HR ;
Decruyenaere, J ;
Elewaut, A ;
Deman, M ;
Lepoutre, L ;
VanderSpek, P ;
Hautekeete, M ;
Reynaert, H ;
Buyse, M ;
Ritter, L ;
Burtin, B ;
Darcis, T ;
Ioannou, J ;
Natens, J ;
Natens, O .
LANCET, 1997, 350 (9090) :1495-1499
[3]   Short course adjuvant terlipressin in acute variceal bleeding: A randomized double blind dummy controlled trial [J].
Azam, Zahid ;
Hamid, Saeed ;
Jafri, Wasim ;
Salih, Mohammad ;
Abbas, Zaigham ;
Abid, Shahab ;
Shah, Hasnain .
JOURNAL OF HEPATOLOGY, 2012, 56 (04) :819-824
[4]   Endoscopic treatment versus endoscopic plus pharmacologic treatment for acute variceal bleeding:: A meta-analysis [J].
Bañares, R ;
Albillos, A ;
Rincón, D ;
Alonso, S ;
González, M ;
Ruiz-del-Arbol, L ;
Salcedo, M ;
Molinero, LM .
HEPATOLOGY, 2002, 35 (03) :609-615
[5]   SCLEROTHERAPY WITH OR WITHOUT OCTREOTIDE FOR ACUTE VARICEAL BLEEDING [J].
BESSON, I ;
INGRAND, P ;
PERSON, B ;
BOUTROUX, D ;
HERESBACH, D ;
BERNARD, P ;
HOCHAIN, P ;
LARRICQ, J ;
GOURLAOUEN, A ;
RIBARD, D ;
KARA, NM ;
LEGOUX, JL ;
PILLEGAND, B ;
BECKER, MC ;
DICOSTANZO, J ;
METREAU, JM ;
SILVAIN, C ;
BEAUCHANT, M .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (09) :555-560
[6]   Early administration of vapreotide for variceal bleeding in patients with cirrhosis [J].
Calés, P ;
Masliah, C ;
Bernard, B ;
Garnier, P ;
Silvain, C ;
Szostak-Talbodec, N ;
Bronowicki, J ;
Ribard, D ;
Botta-Fridlund, D ;
Hillon, P ;
Besseghir, K ;
Lebrec, D .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (01) :23-28
[7]   Early Use of TIPS in Patients with Cirrhosis and Variceal Bleeding. [J].
Carlos Garcia-Pagan, Juan ;
Caca, Karel ;
Bureau, Christophe ;
Laleman, Wim ;
Appenrodt, Beate ;
Luca, Angelo ;
Abraldes, Juan G. ;
Nevens, Frederik ;
Vinel, Jean Pierre ;
Moessner, Joachim ;
Bosch, Jaime .
NEW ENGLAND JOURNAL OF MEDICINE, 2010, 362 (25) :2370-2379
[8]   Endoscopic treatments for portal hypertension [J].
de Franchis, R ;
Primignani, M .
SEMINARS IN LIVER DISEASE, 1999, 19 (04) :439-455
[9]   Longer treatment with vasoactive drugs to prevent early variceal rebleeding in cirrhosis [J].
de Franchis, R .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 1998, 10 (12) :1041-1044
[10]   Prevention and management of Gastroesophageal varices and variceal Hemorrhage in cirrhosis [J].
Garcia-Tsao, Guadalupe ;
Sanyal, Arun J. ;
Grace, Norman D. ;
Carey, William .
HEPATOLOGY, 2007, 46 (03) :922-938