Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3254743 | Best Practice & Research Clinical Gastroenterology | 2007 | 11 Pages |
Abstract
Patients who survive a first bleeding episode of oesophageal varices have a high risk of rebleeding, which is associated with a high mortality rate. Prevention of a recurrent haemorrhage is therefore recommended. Patients who were not on a primary prophylaxis should be treated with non-selective beta-adrenoceptor antagonists, endoscopic band ligation or both. If beta-blockers are not tolerated or are contraindicated, patients should be treated with endoscopic band ligation. If these preventive strategies fail, transjugular intrahepatic portosystemic shunt (covered) or a small-diameter surgical shunt is indicated.
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Authors
Jörg Heller, Tilman Sauerbruch,