Secondary prophylaxis for esophageal variceal bleeding.

Abstract:

:Combination therapy with beta-blockers and endoscopic band ligation (EBL) is the standard prophylaxis of esophageal variceal rebleeding in cirrhosis. Beta-blockers are the backbone of combination therapy, since their benefit extend to other complications of portal hypertension. EBL carries the risk of post-banding ulcer bleeding, which explains why overall rebleeding is reduced when beta-blockers are added to EBL, and not when EBL is added to beta-blockers. TIPS is the rescue treatment, but it could be considered as first choice in patients that first bleed while on beta-blockers, those with contraindications to beta-blockers or with refractory ascites, and those with fundal varices.

journal_name

Clin Liver Dis

journal_title

Clinics in liver disease

authors

Albillos A,Tejedor M

doi

10.1016/j.cld.2014.01.007

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

359-70

issue

2

eissn

1089-3261

issn

1557-8224

pii

S1089-3261(14)00008-7

journal_volume

18

pub_type

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