[Non-surgical treatment of portal hypertension]

[Non-surgical treatment of portal hypertension] Research Abstract Details 

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[Non-surgical treatment of portal hypertension] Abstract Text:

W E Fleig,

The choice of methods for the treatment of acute variceal hemorrhage critically depends on the locally available expertise. Vasoactive drugs or balloon tamponade may bridge the time to more definitive measures such as sclerotherapy or band ligation. Drugs (nonselective beta-adrenergic blockers and long-acting nitrates) are almost equivalent to endoscopic sclerotherapy for the prevention of recurrent bleeding, while band ligation offers both increased efficacy (reduced rate of rebleeding and death) and decreased complication rates when compared to sclerotherapy. Thus, ligation will predominantly be used for the prevention of recurrent bleeding. Alternatively, drugs may be applied when acute bleeding was effectively stopped without the use of endoscopic means. Endoscopic sclerotherapy and surgery have no place in the primary prophylaxis of variceal hemorrhage in patients who have not bled before. Prevention of the first bleed is clearly the field for beta-blockers or nitrates. The role of banding ligation in this situation remains to be defined.

[Non-surgical treatment of portal hypertension] Publishing Authors By Initials

WE Fleig,

For similar diagnosis: prognosis: treatment outcome research abstracts see: diagnosis: prognosis: treatment outcome research

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[Non-surgical treatment of portal hypertension] Journal Published:

PUBLICATION TYPE: Review

Journal: Therapeutische Umschau. Revue thérapeutique

VOLUME: 55

Page Numbers: 84-8

Journal Abbreviation:

ISSN: 0040-5930

DAY: 12

MONTH: Feb

YEAR: 1998

[Non-surgical treatment of portal hypertension] Information

Number of References: 19

LANGUAGE: ger

NlmUniqueID: 407224

[Non-surgical treatment of portal hypertension] Keywords Mesh Terms:

KEYWORDS: Treatment Outcome

MESH TERMS: therapy

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Grant and Affiliation Information for [Non-surgical treatment of portal hypertension]

AFFILIATION: Klinik und Poliklinik für Innere Medizin, Universität Halle-Wittenberg.

Country: SWITZERLAND

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MEDLINETA: Ther Umsch

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