Nonsurgical management of emergency hemorrhage from esophageal varices

Research output: Contribution to journalArticle

Abstract

The emergency management of bleeding esophageal varices should be successful in at least 50% of cases. The sequence of medical steps instituted will vary depending on the resources of the center. The prevention of exsanguination is paramount initially and then bleeding must be stopped. Replacement of blood, intravenous vasopressin, and balloon tamponade, carried out in an intensive care unit, remain the mainstay of medical therapy. The increasing availability of endoscopic sclerotherapy with flexible instruments has more recently introduced a more direct means for stopping the hemorrhage as well as preventing recurrences.

Original languageEnglish
Pages (from-to)646-652
Number of pages7
JournalWorld Journal of Surgery
Volume8
Issue number5
DOIs
StatePublished - Oct 1 1984

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Esophageal and Gastric Varices
Emergencies
Hemorrhage
Exsanguination
Balloon Occlusion
Sclerotherapy
Vasopressins
Intensive Care Units
Recurrence
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Nonsurgical management of emergency hemorrhage from esophageal varices. / Schiff, Eugene R.

In: World Journal of Surgery, Vol. 8, No. 5, 01.10.1984, p. 646-652.

Research output: Contribution to journalArticle

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