Hemorragia variceal pdf 2012

Endoscopic therapies for varices aim to reduce variceal wall tension by. Oct 22, 20 voros d, polydorou a, polymeneas g, vassiliou i, melemeni a, chondrogiannis k, arapoglou v, fragulidis gp. Diagnosis and management of upper gastrointestinal bleeding. There is a high mortality even in patients with preserved liver function, varying in 2955% in hss. Hemorragia variceal medicina clinica especialidades medicas. Feb 10, 2018 hemorragia gastrointestinalsuperior no variceal conclusiones. There is controversy regarding the effectiveness of primary prophylaxis in patients with schistosomiasis. Hemorragia no variceal gastritis erosiva ulcera peptica gastrica o duodenal. Esophageal varices history of cirrhosis and portal hypertension 6. Abstract massive upper gastrointestinal bleeding from ruptured gastroesophageal varices is the main complication of portal hypertension and represents a frequent cause of death and of liver transplantation in cirrhotic patients.

Use of octreotide in the acute management of bleeding esophageal varices. Acr appropriateness criteria radiologic management of gastric varices. The rupture of gastric varices results in variceal hemorrhage, which is one the most lethal complications of cirrhosis. Hemorragia gastrointestinal superior linkedin slideshare. Management of variceal and nonvariceal upper gastrointestinal. Longterm results with the modified sugiura procedure for the management of variceal bleeding. Esophagogastric varices, despite being considered an infrequent cause of upper gastrointestinal bleeding, usually have a torpid outcome in those who. Variceal bleeding is the last step in a chain of events that starts with portal hypertension, followed by the development and growth of the varices, until they eventually bleed. The diagnosis is established by emergency endoscopy when one of the following is. Hemorragia digestiva hemorragia digestiva por varices esofago gastricas hermesvelasquezchamochumbi gastroesophageal variceal bleeding resumen. Hemorragia digestiva variceal actualizacion puntos clave las varices gastricas vg. Causes of upper gastrointestinal bleeding diagnosis distinguishing features. In the hospital nacional edgardo rebagliati s gastrointestinal bleeding unit, 18% of 8 365 admitted patients presented variceal rupture. The gastric varices are present in 20% of ph cases, and they rise to 35% in hss patients 16.