Current status of treatment for acute variceal bleeding in liver cirrhosis
10.3760/cma.j.cn501113-20240306-00113
- VernacularTitle:肝硬化急性静脉曲张出血的治疗现状
- Author:
Yong LYU
1
;
Guohong HAN
;
Daiming FAN
Author Information
1. 空军军医大学西京医院消化内科，西安 710032
- Keywords:
Liver cirrhosis;
Risk stratification;
Transju-gular intrahepatic portosystemic shunt;
Endoscope;
Therapeutic
- From:
Chinese Journal of Hepatology
2024;32(11):1037-1041
- CountryChina
- Language:Chinese
-
Abstract:
Acute variceal bleeding (AVB) continues to be a fatal complications of cirrhotic portal hypertension. Although the hospitalization rate of patients with acute variceal bleeding has significantly decreased with the advancement of medical technology, and the mortality rate has dropped from 50% three decades before to 15%～20% now, the in-hospital mortality rate is still high and is closely related to the severity of cirrhosis, ranging from 0 in Child A grade to 32% in Child C grade. Therefore, it is a good choice to risk stratify these patients and individualize the treatment method according to the expected risk, as the risk of death in patients with acute variceal bleeding is highly heterogeneous. This article mainly reviews the current status of risk stratification and treatment of acute variceal bleeding in cirrhosis.
