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Endoscopic treatments for portal hypertension
Acute esophageal variceal hemorrhage is a dreaded complication of portal hypertension. Its management has evolved rapidly in recent years. Endoscopic therapy is often employed to arrest bleeding varices as well as to prevent early rebleeding. The combination of vasoconstrictor and endoscopic therapy...
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| Published in: | Hepatology international 2018-02, Vol.12 (Suppl 1), p.91-101 |
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| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c372t-31e19c65a8a145b7c8500c3824b56050cdcd862f3456fa797f2330a48ab250e03 |
| container_end_page | 101 |
| container_issue | Suppl 1 |
| container_start_page | 91 |
| container_title | Hepatology international |
| container_volume | 12 |
| creator | Lo, Gin-Ho |
| description | Acute esophageal variceal hemorrhage is a dreaded complication of portal hypertension. Its management has evolved rapidly in recent years. Endoscopic therapy is often employed to arrest bleeding varices as well as to prevent early rebleeding. The combination of vasoconstrictor and endoscopic therapy is superior to vasoconstrictor or endoscopic therapy alone for control of acute esophageal variceal hemorrhage. After control of acute variceal bleeding, combination of banding ligation and beta-blockers is generally recommended to prevent variceal rebleeding. To prevent the catastrophic event of acute variceal bleeding, endoscopic banding ligation is an important tool in the prophylaxis of first bleeding. Endoscopic obturation with cyanoacrylate is usually utilized to arrest acute gastric variceal hemorrhage as well as to prevent rebleeding. It can be concluded that endoscopic therapies play a pivotal role in management of portal hypertensive bleeding. |
| doi_str_mv | 10.1007/s12072-017-9828-8 |
| format | article |
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Its management has evolved rapidly in recent years. Endoscopic therapy is often employed to arrest bleeding varices as well as to prevent early rebleeding. The combination of vasoconstrictor and endoscopic therapy is superior to vasoconstrictor or endoscopic therapy alone for control of acute esophageal variceal hemorrhage. After control of acute variceal bleeding, combination of banding ligation and beta-blockers is generally recommended to prevent variceal rebleeding. To prevent the catastrophic event of acute variceal bleeding, endoscopic banding ligation is an important tool in the prophylaxis of first bleeding. Endoscopic obturation with cyanoacrylate is usually utilized to arrest acute gastric variceal hemorrhage as well as to prevent rebleeding. It can be concluded that endoscopic therapies play a pivotal role in management of portal hypertensive bleeding.</description><identifier>ISSN: 1936-0533</identifier><identifier>EISSN: 1936-0541</identifier><identifier>DOI: 10.1007/s12072-017-9828-8</identifier><identifier>PMID: 29110128</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Adrenergic beta-Antagonists - therapeutic use ; Balloon Occlusion - methods ; Banding ; Bleeding ; Catastrophic events ; Colorectal Surgery ; Combined Modality Therapy - methods ; Cyanoacrylates - therapeutic use ; Endoscopy ; Endoscopy - methods ; Esophageal and Gastric Varices - complications ; Esophageal and Gastric Varices - pathology ; Esophageal and Gastric Varices - therapy ; Esophagus ; Gastrointestinal Hemorrhage - etiology ; Gastrointestinal Hemorrhage - prevention & control ; Gastrointestinal Hemorrhage - therapy ; Hemorrhage ; Hepatology ; Humans ; Hypertension ; Hypertension, Portal - complications ; Hypertension, Portal - therapy ; Ligation - methods ; Medicine ; Medicine & Public Health ; Prophylaxis ; Sclerotherapy ; Sclerotherapy - methods ; Special Issue - Portal Hypertension ; Surgery ; Therapy ; Vasoconstrictor Agents - therapeutic use</subject><ispartof>Hepatology international, 2018-02, Vol.12 (Suppl 1), p.91-101</ispartof><rights>Asian Pacific Association for the Study of the Liver 2017</rights><rights>Hepatology International is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-31e19c65a8a145b7c8500c3824b56050cdcd862f3456fa797f2330a48ab250e03</citedby><cites>FETCH-LOGICAL-c372t-31e19c65a8a145b7c8500c3824b56050cdcd862f3456fa797f2330a48ab250e03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29110128$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lo, Gin-Ho</creatorcontrib><title>Endoscopic treatments for portal hypertension</title><title>Hepatology international</title><addtitle>Hepatol Int</addtitle><addtitle>Hepatol Int</addtitle><description>Acute esophageal variceal hemorrhage is a dreaded complication of portal hypertension. Its management has evolved rapidly in recent years. Endoscopic therapy is often employed to arrest bleeding varices as well as to prevent early rebleeding. The combination of vasoconstrictor and endoscopic therapy is superior to vasoconstrictor or endoscopic therapy alone for control of acute esophageal variceal hemorrhage. After control of acute variceal bleeding, combination of banding ligation and beta-blockers is generally recommended to prevent variceal rebleeding. To prevent the catastrophic event of acute variceal bleeding, endoscopic banding ligation is an important tool in the prophylaxis of first bleeding. Endoscopic obturation with cyanoacrylate is usually utilized to arrest acute gastric variceal hemorrhage as well as to prevent rebleeding. It can be concluded that endoscopic therapies play a pivotal role in management of portal hypertensive bleeding.</description><subject>Adrenergic beta-Antagonists - therapeutic use</subject><subject>Balloon Occlusion - methods</subject><subject>Banding</subject><subject>Bleeding</subject><subject>Catastrophic events</subject><subject>Colorectal Surgery</subject><subject>Combined Modality Therapy - methods</subject><subject>Cyanoacrylates - therapeutic use</subject><subject>Endoscopy</subject><subject>Endoscopy - methods</subject><subject>Esophageal and Gastric Varices - complications</subject><subject>Esophageal and Gastric Varices - pathology</subject><subject>Esophageal and Gastric Varices - therapy</subject><subject>Esophagus</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Gastrointestinal Hemorrhage - prevention & control</subject><subject>Gastrointestinal Hemorrhage - therapy</subject><subject>Hemorrhage</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension, Portal - complications</subject><subject>Hypertension, Portal - therapy</subject><subject>Ligation - methods</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Prophylaxis</subject><subject>Sclerotherapy</subject><subject>Sclerotherapy - methods</subject><subject>Special Issue - Portal Hypertension</subject><subject>Surgery</subject><subject>Therapy</subject><subject>Vasoconstrictor Agents - therapeutic use</subject><issn>1936-0533</issn><issn>1936-0541</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kM1KxDAURoMozjj6AG6k4MZN9N6kSdOlDOMPDLjRdUjTVDu0TU06i3l7O1RHEFzdwD3fl-QQcolwiwDZXUQGGaOAGc0VU1QdkTnmXFIQKR4fzpzPyFmMGwAhJMpTMmM5IiBTc0JXXemj9X1tkyE4M7SuG2JS-ZD0PgymST52vQuD62Ltu3NyUpkmuovvuSBvD6vX5RNdvzw-L-_X1PKMDZSjw9xKYZTBVBSZVQLAcsXSQkgQYEtbKskqngpZmSzPKsY5mFSZgglwwBfkZurtg__cujjoto7WNY3pnN9Gjfn4D55Llo7o9R9047ehG1-nGUDOkLF0X4gTZYOPMbhK96FuTdhpBL13qSeXenSp9y61GjNX383bonXlIfEjbwTYBMRx1b278Hv1_61fKup8cA</recordid><startdate>20180201</startdate><enddate>20180201</enddate><creator>Lo, Gin-Ho</creator><general>Springer India</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20180201</creationdate><title>Endoscopic treatments for portal hypertension</title><author>Lo, Gin-Ho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-31e19c65a8a145b7c8500c3824b56050cdcd862f3456fa797f2330a48ab250e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adrenergic beta-Antagonists - therapeutic use</topic><topic>Balloon Occlusion - methods</topic><topic>Banding</topic><topic>Bleeding</topic><topic>Catastrophic events</topic><topic>Colorectal Surgery</topic><topic>Combined Modality Therapy - methods</topic><topic>Cyanoacrylates - therapeutic use</topic><topic>Endoscopy</topic><topic>Endoscopy - methods</topic><topic>Esophageal and Gastric Varices - complications</topic><topic>Esophageal and Gastric Varices - pathology</topic><topic>Esophageal and Gastric Varices - therapy</topic><topic>Esophagus</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Gastrointestinal Hemorrhage - prevention & control</topic><topic>Gastrointestinal Hemorrhage - therapy</topic><topic>Hemorrhage</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension, Portal - complications</topic><topic>Hypertension, Portal - therapy</topic><topic>Ligation - methods</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Prophylaxis</topic><topic>Sclerotherapy</topic><topic>Sclerotherapy - methods</topic><topic>Special Issue - Portal Hypertension</topic><topic>Surgery</topic><topic>Therapy</topic><topic>Vasoconstrictor Agents - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lo, Gin-Ho</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Hepatology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lo, Gin-Ho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic treatments for portal hypertension</atitle><jtitle>Hepatology international</jtitle><stitle>Hepatol Int</stitle><addtitle>Hepatol Int</addtitle><date>2018-02-01</date><risdate>2018</risdate><volume>12</volume><issue>Suppl 1</issue><spage>91</spage><epage>101</epage><pages>91-101</pages><issn>1936-0533</issn><eissn>1936-0541</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><notes>ObjectType-Review-1</notes><abstract>Acute esophageal variceal hemorrhage is a dreaded complication of portal hypertension. Its management has evolved rapidly in recent years. Endoscopic therapy is often employed to arrest bleeding varices as well as to prevent early rebleeding. The combination of vasoconstrictor and endoscopic therapy is superior to vasoconstrictor or endoscopic therapy alone for control of acute esophageal variceal hemorrhage. After control of acute variceal bleeding, combination of banding ligation and beta-blockers is generally recommended to prevent variceal rebleeding. To prevent the catastrophic event of acute variceal bleeding, endoscopic banding ligation is an important tool in the prophylaxis of first bleeding. Endoscopic obturation with cyanoacrylate is usually utilized to arrest acute gastric variceal hemorrhage as well as to prevent rebleeding. It can be concluded that endoscopic therapies play a pivotal role in management of portal hypertensive bleeding.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>29110128</pmid><doi>10.1007/s12072-017-9828-8</doi><tpages>11</tpages></addata></record> |
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| subjects | Adrenergic beta-Antagonists - therapeutic use Balloon Occlusion - methods Banding Bleeding Catastrophic events Colorectal Surgery Combined Modality Therapy - methods Cyanoacrylates - therapeutic use Endoscopy Endoscopy - methods Esophageal and Gastric Varices - complications Esophageal and Gastric Varices - pathology Esophageal and Gastric Varices - therapy Esophagus Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - prevention & control Gastrointestinal Hemorrhage - therapy Hemorrhage Hepatology Humans Hypertension Hypertension, Portal - complications Hypertension, Portal - therapy Ligation - methods Medicine Medicine & Public Health Prophylaxis Sclerotherapy Sclerotherapy - methods Special Issue - Portal Hypertension Surgery Therapy Vasoconstrictor Agents - therapeutic use |
| title | Endoscopic treatments for portal hypertension |
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