식도정맥류 관리
분야
의약학 > 내과학
저자
고광철 ( Kwang Cheol Koh )
발행기관
대한간학회
간행물정보
Postgraduate Courses (PG) 2012년, 제2012권 제1호, 47~55쪽(총9쪽)
파일형식
27405430.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Since the initial KASL practice guidelines were published, a number of advances have changed our management of variceal bleeding. Nonselective beta-blockers or endoscopic variceal ligation (EVL) are the gold standard in the prevention of first variceal bleeding in patients with esophageal varices. The combination of vasoconstrictive agents and variceal ligation is the preferred approach to the management of acute variceal hemorrhage in addition to prophylactic antibiotic treatment. For failures of pharmacological or endoscopic therapies, transjugular intrahepatic portosystemic shunt (TIPS) is a useful salvage procedure. Management of acute variceal bleeding should be followed by initiating strategies (EVL pharmacological therapy) to lower the risk of rebleeding. Mortality from portal hypertensive bleeding has been markedly diminished by use of these strategies.
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