علاج الخط الأول للنزيف الدوالي المريئي الحاد

References

DOI: 10.1007/s12072-025-10894-4

• Combination of a vasoactive drug and endoscopic therapy is the first-line therapy for acute variceal bleed.
• Vasoactive treatment should be started at the earliest, preferably within 30 minutes of index bleed.
• Band ligation with multi-band ligator is the preferred modality of therapy for esophageal variceal bleed.
• Control of AVB is defined as the cessation of bleeding with hemodynamic stability (systolic blood pressure > 90 mmHg and MAP ≥ 60 mmHg) for at least 48 h post-therapy.