Chapter 10
Treatment of Acute Bleeding
Treatment of the Acute Bleeding Episode
Loren Laine MD,
Shahab Abid MD, MBBS, FCPS, FRCP (Edin.), FACG,
Agustin Albillos MD,
Patrick S Kamath MD,
Jean-Pierre Vinel MD,
Juan Carlos García-Pagán MD, PhD,
Loren Laine MD
Professor
Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
Search for more papers by this authorShahab Abid MD, MBBS, FCPS, FRCP (Edin.), FACG
Associate Professor
Department of Gastroenterology, Aga Khan University Hospital, Karachi, Pakistan
Search for more papers by this authorAgustin Albillos MD
Department of Gastroenterology, Hospital Ramon y Cajal, University of Alcalà, Madrid, Spain
Search for more papers by this authorPatrick S Kamath MD
Professor
Mayo Clinic College of Medicine, Rochester, MN, USA
Search for more papers by this authorJean-Pierre Vinel MD
Professor Head
University Hospital Toulouse-Purpan, and Inserm U858, Toulouse, France
Search for more papers by this authorJuan Carlos García-Pagán MD, PhD
Consultant
Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), University of Barcelona, Spain
Search for more papers by this authorLoren Laine MD,
Shahab Abid MD, MBBS, FCPS, FRCP (Edin.), FACG,
Agustin Albillos MD,
Patrick S Kamath MD,
Jean-Pierre Vinel MD,
Juan Carlos García-Pagán MD, PhD,
Loren Laine MD
Professor
Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
Search for more papers by this authorShahab Abid MD, MBBS, FCPS, FRCP (Edin.), FACG
Associate Professor
Department of Gastroenterology, Aga Khan University Hospital, Karachi, Pakistan
Search for more papers by this authorAgustin Albillos MD
Department of Gastroenterology, Hospital Ramon y Cajal, University of Alcalà, Madrid, Spain
Search for more papers by this authorPatrick S Kamath MD
Professor
Mayo Clinic College of Medicine, Rochester, MN, USA
Search for more papers by this authorJean-Pierre Vinel MD
Professor Head
University Hospital Toulouse-Purpan, and Inserm U858, Toulouse, France
Search for more papers by this authorJuan Carlos García-Pagán MD, PhD
Consultant
Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), University of Barcelona, Spain
Search for more papers by this authorBook Editor(s):Roberto de Franchis MD, AGAF,
Roberto de Franchis MD, AGAF
Professor of Gastroenterology Head
Department of Medical Sciences, University of Milan, and Gastroenterology 3 Unit, IRCCS Ca' Granda Ospedale Maggiore Policlinico Mangiagalli and Regina Elena Foundation, Milan, Italy
Search for more papers by this authorSummary
This chapter contains sections titled:
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Introduction
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General management
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Primary therapy for acute variceal bleeding
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Rescue therapy for acute treatment failure
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References
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Blood volume restitution
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Antibiotic prophylaxis
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Prevention of hepatic encephalopathy
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Assessment of prognosis
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Timing of endoscopy
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Pharmacological treatment
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Endoscopic treatment
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Early TIPS placement
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Use of balloon tamponade
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Use of self-expandable metal stents
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Management of treatment failures
-
Areas requiring further study
References
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