Journal article
Secondary Prophylaxis for Esophageal Variceal Bleeding
Clinics in liver disease, Vol.18(2), pp.359-370
05/01/2014
DOI: 10.1016/j.cld.2014.01.007
PMID: 24679500
Abstract
Combination therapy with beta-blockers and endoscopic band ligation (EBL) is the standard prophylaxis of esophageal variceal rebleeding in cirrhosis. Beta-blockers are the backbone of combination therapy, since their benefit extend to other complications of portal hypertension. EBL carries the risk of post-banding ulcer bleeding, which explains why overall rebleeding is reduced when beta-blockers are added to EBL, and not when EBL is added to beta-blockers. TIPS is the rescue treatment, but it could be considered as first choice in patients that first bleed while on beta-blockers, those with contraindications to beta-blockers or with refractory ascites, and those with fundal varices.
Details
- Title: Subtitle
- Secondary Prophylaxis for Esophageal Variceal Bleeding
- Creators
- Agustín Albillos - Hospital Universitario Ramón y CajalMarta Tejedor - Hospital Universitario Ramón y Cajal
- Resource Type
- Journal article
- Publication Details
- Clinics in liver disease, Vol.18(2), pp.359-370
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.cld.2014.01.007
- PMID
- 24679500
- ISSN
- 1089-3261
- eISSN
- 1557-8224
- Grant note
- PS09/00485 and PI051871 / de Salud Carlos AP100652012 / Fundación Mutua Madrileña
- Language
- English
- Date published
- 05/01/2014
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984695830302771
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