Current Concepts: Management of Varices and Variceal Hemorrhage in Cirrhosis.

被引：643

作者：

Garcia-Tsao, Guadalupe ^{[1
]}

Bosch, Jaime ^{[2
]}

机构：

[1] Yale Univ, Sch Med, Sect Digest Dis, New Haven, CT 06520 USA

[2] Univ Barcelona, Hosp Clin, Hepat Hemodynam Lab, Liver Unit, Barcelona, Spain

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2010年 / 362卷 / 09期

关键词：

PORTAL HYPERTENSIVE GASTROPATHY; RANDOMIZED CONTROLLED-TRIAL; VENOUS-PRESSURE GRADIENT; INTRAHEPATIC PORTOSYSTEMIC SHUNT; SMALL ESOPHAGEAL-VARICES; NATURAL-HISTORY; PHARMACOLOGICAL-TREATMENT; CYANOACRYLATE INJECTION; ENDOSCOPIC TREATMENT; BAND LIGATION;

D O I：

10.1056/NEJMra0901512

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Gastroesophageal varices are present at diagnosis in almost half of patients with cirrhosis, and variceal hemorrhage continues to be a lethal complication of cirrhosis. This review explains the three main challenges in clinical management: primary prophylaxis to prevent a first episode of hemorrhage, the treatment of acute bleeding episodes, and secondary prophylaxis to prevent recurrence of variceal hemorrhage. Copyright © 2010 Massachusetts Medical Society.

引用

页码：823 / 832

页数：10

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