Bleeding from varices – viewpoint on therapy after Baveno VI
Tomáš Fejfar Orcid.org 1, Václav Jirkovský Orcid.org 1, Štěpán Šembera Orcid.org 1, Tomáš Vaňásek Orcid.org 2, Petr Hůlek1,3
+ Affiliation
Summary
Variceal bleeding is the most severe life-threatening complication of portal hypertension. Currently, clear therapeutic algorithms are used, which include initial general management, fluid replacement, haemosubstitution, antibiotic prophylaxis, vasoactive medication and endoscopic intervention. A transjugular intrahepatic portosystemic shunt (TIPS) created using a PTFE-covered stent is recommended when these treatment regimens fail. A dedicated oesophageal metal stent or a balloon tamponade can be used as a bridge to the TIPS or in the case of TIPS contraindications. No selective β-blockers or endoscopic therapy is used in prophylaxis.
Keywords
bleeding, treatment, portal hypertensionLiterature
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