Treatment of Acute Hemorrhage from Esophageal Varices in Cirrhotic Patients.
Cirrhosis describes the end stages of chronic inflammation and progressive scarring of the liver and may lead to hepatocellular dysfunction and portal venous hypertension. Liver cirrhosis in itself is a major cause of mortality worldwide, accounting from more than 1 million deaths in 2010. Esophagea...
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| Format: | Article |
| Language: | English |
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Albanian Society for Trauma and Emergency Surgery
2019-01-01
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| Series: | Albanian Journal of Trauma and Emergency Surgery |
| Subjects: | |
| Online Access: | http://journal.astes.org.al/index.php/AJTES/article/view/22 |
| _version_ | 1824010149019254784 |
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| author | Judah Morgan Eva Shagla Ryan M. Kwok |
| author_facet | Judah Morgan Eva Shagla Ryan M. Kwok |
| author_sort | Judah Morgan |
| collection | DOAJ |
| description | Cirrhosis describes the end stages of chronic inflammation and progressive scarring of the liver and may lead to hepatocellular dysfunction and portal venous hypertension. Liver cirrhosis in itself is a major cause of mortality worldwide, accounting from more than 1 million deaths in 2010. Esophageal varices are common in cirrhosis such that Christensen et al. documented their occurrence in 90% of patients with cirrhosis within 10 years of follow up, 40% experiencing variceal bleeding. Acute hemorrhage from esophageal varices will classically appear as hematemesis and/or melena in patients with a history of cirrhosis. It is most often diagnosed by performance of an EGD which will reveal actively bleeding varices. Because of the high rate of morbidity and mortality associated with esophageal variceal bleeding, one must have a high index of suspicion in any patient with chronic liver disease or cirrhosis. As such, empiric management for variceal hemorrhage should be initiated any time this diagnosis is considered. |
| first_indexed | 2024-12-18T21:19:29Z |
| format | Article |
| id | doaj.art-ac6dd7a014a445f19b49c2c13a284ba3 |
| institution | Directory Open Access Journal |
| issn | 2521-8778 2616-4922 |
| language | English |
| last_indexed | 2024-12-18T21:19:29Z |
| publishDate | 2019-01-01 |
| publisher | Albanian Society for Trauma and Emergency Surgery |
| record_format | Article |
| series | Albanian Journal of Trauma and Emergency Surgery |
| spelling | doaj.art-ac6dd7a014a445f19b49c2c13a284ba32022-12-21T20:52:07ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222019-01-013110.32391/ajtes.v3i1.2222Treatment of Acute Hemorrhage from Esophageal Varices in Cirrhotic Patients.Judah Morgan0Eva Shagla1Ryan M. Kwok2Uniformed Services University of the Health Sciences, F. Edward Hebért School of Medicine, BethesdaUniversity Hospital Center “Mother Tereza, Tirana, AlbaniaWalter Reed National Military Medical Center, Department of Medicine, Gastroenterology Service, BethesdaCirrhosis describes the end stages of chronic inflammation and progressive scarring of the liver and may lead to hepatocellular dysfunction and portal venous hypertension. Liver cirrhosis in itself is a major cause of mortality worldwide, accounting from more than 1 million deaths in 2010. Esophageal varices are common in cirrhosis such that Christensen et al. documented their occurrence in 90% of patients with cirrhosis within 10 years of follow up, 40% experiencing variceal bleeding. Acute hemorrhage from esophageal varices will classically appear as hematemesis and/or melena in patients with a history of cirrhosis. It is most often diagnosed by performance of an EGD which will reveal actively bleeding varices. Because of the high rate of morbidity and mortality associated with esophageal variceal bleeding, one must have a high index of suspicion in any patient with chronic liver disease or cirrhosis. As such, empiric management for variceal hemorrhage should be initiated any time this diagnosis is considered.http://journal.astes.org.al/index.php/AJTES/article/view/22acute hemorrhagecirrhosisesophageal varices |
| spellingShingle | Judah Morgan Eva Shagla Ryan M. Kwok Treatment of Acute Hemorrhage from Esophageal Varices in Cirrhotic Patients. Albanian Journal of Trauma and Emergency Surgery acute hemorrhage cirrhosis esophageal varices |
| title | Treatment of Acute Hemorrhage from Esophageal Varices in Cirrhotic Patients. |
| title_full | Treatment of Acute Hemorrhage from Esophageal Varices in Cirrhotic Patients. |
| title_fullStr | Treatment of Acute Hemorrhage from Esophageal Varices in Cirrhotic Patients. |
| title_full_unstemmed | Treatment of Acute Hemorrhage from Esophageal Varices in Cirrhotic Patients. |
| title_short | Treatment of Acute Hemorrhage from Esophageal Varices in Cirrhotic Patients. |
| title_sort | treatment of acute hemorrhage from esophageal varices in cirrhotic patients |
| topic | acute hemorrhage cirrhosis esophageal varices |
| url | http://journal.astes.org.al/index.php/AJTES/article/view/22 |
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