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Variceal haemorrhage: An update on treatment
Author(s) -
SUNG JOSEPH
Publication year - 1998
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1046/j.1440-1746.1998.01726.x
Subject(s) - medicine , octreotide , portal hypertension , cyanoacrylate , transjugular intrahepatic portosystemic shunt , complication , somatostatin , ligation , surgery , intensive care medicine , cirrhosis , chemistry , adhesive , organic chemistry , layer (electronics)
Recent advances in the management of variceal haemorrhage include injection of cyanoacrylate and the use of banding ligation. New pharmacological agents, such as somatostatin and octreotide, have also proved to be effective in controlling variceal haemorrhage. The transjugular intrahepatic porto‐systemic shunt (TIPS) represents an effective rescue when other treatment modalities fail. A multi‐disciplinary approach should be emphasized in the management of this high‐risk complication of portal hypertension.