علاج ارتفاع ضغط البوابة مع النزيف الدوالي الحاد في مريض مصاب بتليف الكبد

References

DOI: 10.1016/j.jceh.2022.03.002

• Variceal hemorrhage, mainly from esophageal or gastric varices, is a life-threatening acute decompensating event associated with 10%–20% mortality at six weeks.
• Unique to the management of variceal bleeding in cirrhosis is thus a cautious, restrictive transfusion strategy of 7–9 gm/dL, which is associated with improved survival.
• The early initiation of vasoactive peptides (before endoscopy) is associated with improved outcomes in variceal hemorrhage.
• Somatostatin, octreotide, and terlipressin are comparable in efficacy and safety in the control of variceal hemorrhage defined by five-day treatment failure.