Hemorragia variceal pdf 2012

Use of octreotide in the acute management of bleeding esophageal varices. Hemorragia digestiva alta no varicosa sciencedirect. Acute variceal bleeding avb is a severe complication of portal hypertension pht and causes 70% of all upper gastrointestinal gi bleeding episodes in patients with liver cirrhosis. Gastric varices represent less than 2% of initial presentation of digestive bleeding, however their bleeding are more severe than esophageal varices. Oct 22, 20 voros d, polydorou a, polymeneas g, vassiliou i, melemeni a, chondrogiannis k, arapoglou v, fragulidis gp. The diagnosis is established by emergency endoscopy when one of the following is. In the hospital nacional edgardo rebagliati s gastrointestinal bleeding unit, 18% of 8 365 admitted patients presented variceal rupture. Esophageal varices history of cirrhosis and portal hypertension 6. Hemorragia digestiva por varices esofago gastricas. Management of variceal and nonvariceal upper gastrointestinal. Hemorragia digestiva variceal actualizacion puntos clave las varices gastricas vg.

Hemorragia variceal medicina clinica especialidades medicas. Treatment of acute variceal bleeding is systematized in the literature, combination of. There is a high mortality even in patients with preserved liver function, varying in 2955% in hss. Causes of upper gastrointestinal bleeding diagnosis distinguishing features. Endoscopic therapies for varices aim to reduce variceal wall tension by. 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. Esophagogastric varices, despite being considered an infrequent cause of upper gastrointestinal bleeding, usually have a torpid outcome in those who. Hemorragia no variceal gastritis erosiva ulcera peptica gastrica o duodenal.

Acr appropriateness criteria radiologic management of gastric varices. Hemorragia gastrointestinal superior linkedin slideshare. Diagnosis and management of upper gastrointestinal bleeding. Varices are already present in about 40% of compensated asymptomatic patients at diagnosis, and the incidence increases to 90% of patients during longterm follow up. 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. Longterm results with the modified sugiura procedure for the management of variceal bleeding. There is controversy regarding the effectiveness of primary prophylaxis in patients with schistosomiasis. The rupture of gastric varices results in variceal hemorrhage, which is one the most lethal complications of cirrhosis. The gastric varices are present in 20% of ph cases, and they rise to 35% in hss patients 16. Hemorragia digestiva hemorragia digestiva por varices esofago gastricas hermesvelasquezchamochumbi gastroesophageal variceal bleeding resumen. Hemorragia por varices esofagogastricas rapd online sapd.