Portal hypertension and variceal hemorrhage.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 19577117.
- Also identified by DOI 10.1016/j.mcna.2009.03.008.
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Abstract
Portal hypertension is a progressively debilitating complication of cirrhosis and a principal cause of mortality in patients who have hepatic decompensation. This article describes the classification system and pathophysiology of portal hypertension. It also discusses a practical approach to prevention of first variceal hemorrhage, general management of the acute bleeding episode, and secondary prophylaxis to prevent rebleeding. Pharmacologic, endoscopic, radiologic, and surgical modalities are all described in detail.
Medical subject headings
- Esophageal and Gastric Varices
- Gastrointestinal Hemorrhage
- Hypertension, Portal