Chapter 11

Preventing Rebleeding in 2010

Prevention of Rebleeding

Norman Grace MD, FACP, FACG

Norman Grace MD, FACP, FACG

Professor Lecturer Director

Tufts University School of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, USA

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Gin-Ho Lo MD

Gin-Ho Lo MD

Professor Director

I-Shou University, Medical Education, Digestive Centre, E-DA Hospital, Kaohsiung, Taiwan

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Frederik Nevens MD

Frederik Nevens MD

Department of Liver and Pancreatic Disease, UZ Gasthuisberg KU Leuven, Leuven, Belgium

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Tilman Sauerbruch MD

Tilman Sauerbruch MD

Professor Chairman

Department of Internal Medicine I, University of Bonn, Germany

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Peter Hayes MD, PhD

Peter Hayes MD, PhD

Professor

University of Edinburgh, UK

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Candid Villanueva MD

Candid Villanueva MD

Gastrointestinal Bleeding Unit, Department of Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain

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Didier Lebrec MD

Didier Lebrec MD

Inserm U773, Centre de Recherche Biomédicale Bichat-Beaujon CRB3, Université Denis Diderot Paris 7, and Department of Hepatology, Hôopital Beaujon, Clichy, France

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First published: 17 November 2010
Citations: 1

Summary

This chapter contains sections titled:

  • Beta-blockers alone or combined with other drugs

  • Endoscopic therapy: endoscopic variceal ligation or combined with other endoscopic procedures

  • Drugs alone or with endoscopic variceal ligation?

  • Endoscopic variceal ligation alone or with drugs?

  • Transjugular intrahepatic portosystemic shunt versus endoscopic treatment

  • Rescue therapy: always TIPS? Treatment of poor candidates for TIPS

  • Secondary prophylaxis of variceal bleeding:

  • Role of surgery

  • The role of HVPG monitoring in secondary prophylaxis

  • References

  • Time to start secondary prophylaxis

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