Management of upper gastrointestinal bleeding in the patient with chronic liver disease

被引：63
|
作者：
Jutabha, R
Jensen, DM
机构：
[1] W LOS ANGELES VET AFFAIRS MED CTR, LOS ANGELES, CA 90073 USA
[2] UNIV CALIF LOS ANGELES, CTR ULCER RES & EDUC, DIGEST DIS RES CTR, LOS ANGELES, CA 90024 USA
来源：
MEDICAL CLINICS OF NORTH AMERICA | 1996年 / 80卷 / 05期
关键词：
D O I：
10.1016/S0025-7125(05)70479-X
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
This article reviews the management of severe upper gastrointestinal bleeding in the patient with chronic liver diseases. The initial assessment, diagnostic work-up, and treatment options for variceal and nonvariceal bleeding are discussed. The role of diagnostic and therapeutic endoscopy for esophagogastric varices is reviewed with special emphasis on new endoscopic techniques including variceal band ligation and cyanoacrylate injection. Various pharmacologic, surgical, and radiologic treatment options for variceal bleeding also are discussed. In addition, nonvariceal causes of severe upper gastrointestinal bleeding are reviewed including peptic ulcer diseases, Mallory-Weiss tear, portal hypertensive gastropathy, and gastric antral vascular ectasia.
引用
收藏
页码：1035 / +
页数：1
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