TY - JOUR
T1 - Variceal bleeding
AU - Mckay, Rebecca
AU - Webster, Nigel R.
PY - 2007/12
Y1 - 2007/12
N2 - Approximately 90% of patients with cirrhosis will have developed gastro-oesophageal varices within 10 yr. Oesophageal variceal haemorrhage is a devastating complication of cirrhosis with mortality as high as 25–50%.1 Therefore, prophylactic measures before the first bleed are crucial. If patients survive a variceal bleed, there is approximately a 70% risk that they will have a further bleed within the following 2 yr. Measures to minimize the risk of re-bleeding have been investigated and hospital mortality has decreased from 42% in 1980 to 14% in 2000. This review describes the factors involved in variceal haemorrhage, management of an acute bleed, and current opinions on appropriate prophylactic measures
AB - Approximately 90% of patients with cirrhosis will have developed gastro-oesophageal varices within 10 yr. Oesophageal variceal haemorrhage is a devastating complication of cirrhosis with mortality as high as 25–50%.1 Therefore, prophylactic measures before the first bleed are crucial. If patients survive a variceal bleed, there is approximately a 70% risk that they will have a further bleed within the following 2 yr. Measures to minimize the risk of re-bleeding have been investigated and hospital mortality has decreased from 42% in 1980 to 14% in 2000. This review describes the factors involved in variceal haemorrhage, management of an acute bleed, and current opinions on appropriate prophylactic measures
UR - http://www.scopus.com/inward/record.url?scp=36348930413&partnerID=8YFLogxK
U2 - 10.1093/bjaceaccp/mkm038
DO - 10.1093/bjaceaccp/mkm038
M3 - Article
AN - SCOPUS:36348930413
SN - 1743-1816
VL - 7
SP - 191
EP - 194
JO - Continuing Education in Anaesthesia, Critical Care and Pain
JF - Continuing Education in Anaesthesia, Critical Care and Pain
IS - 6
ER -