علاج الفشل الكبدي المزمن في تشمع الكبد مع النزيف الحاد من دوالي المعدة القلبية القاعية

References

DOI: 10.1016/j.jhep.2018.03.024

• Acute gastric VH should be treated medically, like oesophageal VH (I;1). Cyanoacrylate is the recommended endoscopic haemostatic treatment for cardiofundal varices (gastro-oesophageal varices type 2 or isolated gastric varices type 1) (I;2).
• TIPS with potential embolisation efficiently controls bleeding and prevents rebleeding in fundal VH (gastro-oesophageal varices type 2 or isolated gastric varices type 1) and should be considered in appropriate candidates (II-2;1).
• Selective embolisation (BRTO/BATO) may also be used to treat bleeding from fundal varices associated with large gastro/splenorenal collaterals, although more data is required (III;2).