1.Which Method should We Consider for Treatment of Bleeding Gastric Varix?.
The Korean Journal of Gastroenterology 2004;43(4):268-271
No abstract available.
Esophageal and Gastric Varices/*therapy
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Gastrointestinal Hemorrhage/*therapy
;
Humans
3.Baveno VII - Renewing consensus in portal hypertension: personalized care for portal hypertension.
Xiao Mei LI ; Bo Han LUO ; Zheng Yu WANG ; Jie YUAN ; Guo Hong HAN
Chinese Journal of Hepatology 2022;30(1):21-29
The Baveno VII workshop held in October 2021 was featured by the subject of personalized care in portal hypertension. The workshop focused on the following 9 topics including: the relevance and indications for measuring the hepatic venous pressure gradient as a gold standard; the use of non-invasive tools for the diagnosis of compensated advanced chronic liver disease and clinically significant portal hypertension; the impact of etiological and of non-etiological therapies in the course of cirrhosis; the prevention of the first episode of decompensation; the management of the acute bleeding episode; the prevention of further decompensation; as well as the diagnosis and management of splanchnic vein thrombosis and other vascular disorders of the liver. This essay provides a compilation and summary of recommendations regarding the abovementioned topics, and presents the most recent research proceedings and the corresponding consensus to our readers.
Consensus
;
Esophageal and Gastric Varices
;
Humans
;
Hypertension, Portal/therapy*
;
Liver Cirrhosis/therapy*
;
Portal Pressure
5.Endoscope therapy of bleeding in portal hypertension.
Chinese Journal of Surgery 2008;46(22):1696-1698
6.A Case of Percutaneous Endoscopic Gastrostomy in a Patient with Liver Cirrhosis Accompanied by Both Esophageal and Gastric Varices.
Dong Hoon PARK ; Jae Woo KIM ; Kyu Hong KIM ; Hye Jung KIM ; Myeong Gwan JEE ; Yong Soon PARK ; Soon Koo BAIK ; Hyun Soo KIM ; Sang Ok KWON
The Korean Journal of Gastroenterology 2006;48(1):51-54
Malnutrition in patients with liver disease is common. Consequently, percutaneous endoscopic gastrostomy may be needed for the correction of malnutrition. Percutaneous endoscopic gastrostomy is rarely performed in patients with liver cirrhosis because of the presence of varices and coagulation abnormalities. However, if careful insertion technique along with thorough clinical assessment is undertaken, percutaneous endoscopic gastrostomy may be successfully performed in patients with liver cirrhosis. Here, we report successful application of percutaneous endoscopic gastrostomy in a patient with liver cirrhosis accompanied by both gastric and esophageal varices.
Aged
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*Endoscopy
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*Enteral Nutrition
;
Esophageal and Gastric Varices/*complications
;
Gastrostomy/*methods
;
Humans
;
Liver Cirrhosis/complications/*therapy
;
Male
7.Gastric Varices Treated with Balloon-occluded Retrograde Transvenous Obliteration (BRTO).
The Korean Journal of Gastroenterology 2009;53(1):1-4
No abstract availble.
*Balloon Occlusion
;
Esophageal and Gastric Varices/*diagnosis/therapy
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Female
;
Gastroscopy
;
Humans
;
Middle Aged
;
Tomography, X-Ray Computed
8.Endoscopic Therapy and Radiologic Intervention of Acute Gastroesophageal Variceal Bleeding
Jeong Eun SONG ; Byung Seok KIM
Clinical Endoscopy 2019;52(5):407-415
Acute gastroesophageal variceal hemorrhage is a dreaded complication in patients with liver cirrhosis. Endoscopic therapy and radiologic intervention for gastroesophageal bleeding have rapidly developed in the recent decades. Endoscopic treatment is initially performed to stop variceal hemorrhage. For the treatment of esophageal variceal bleeding, endoscopic variceal ligation (EVL) is considered the endoscopic treatment of choice. In cases of gastric variceal hemorrhage, the type of gastric varices (GVs) is important in deciding the strategy of endoscopic treatment. Endoscopic variceal obturation (EVO) is recommended for fundal variceal bleeding. For the management of gastroesophageal varix type 1 bleeding, both EVO and EVL are available treatment options; however, EVO is preferred over EVL. If endoscopic management fails to control variceal hemorrhage, radiologic interventional modalities could be considered. Transjugular intrahepatic portosystemic shunt is a good option for rescue treatment in refractory variceal bleeding. In cases of refractory hemorrhage of GVs in patients with a gastrorenal shunt, balloon-occluded retrograde transvenous obliteration could be considered as a salvage treatment.
Endoscopy
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Esophageal and Gastric Varices
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Hemorrhage
;
Humans
;
Ligation
;
Liver Cirrhosis
;
Portasystemic Shunt, Surgical
;
Salvage Therapy
;
Varicose Veins
9.Connotation of distal bleeding based on modern pathophysiological mechanism and application of Huangtu Decoction for acute coronary syndrome complicated with acute upper gastrointestinal hemorrhage in critical care medicine.
China Journal of Chinese Materia Medica 2023;48(10):2583-2594
Huangtu Decoction, first recorded in Essentials from the Golden Cabinet(Jin Kui Yao Lue) from ZHANG Zhong-jing in Han dynasty, is used to treat distal bleeding. It is mainly treated for the syndrome of failing to control blood with spleen-yang deficiency. The connotation of distal bleeding is more extensive, including not only upper gastrointestinal bleeding in the traditional sense such as peptic ulcer bleeding, gastrointestinal tumors, gastric mucosal lesions, vascular dysplasia, esophagogastric variceal bleeding, and pancreatic and biliary tract injury, but also other anorectal diseases such as part colon and rectal cancer swelling or polyps, hemorrhoids, and anal fissure and other parts of bleeding such as epistaxis, thrombocytopenia, functional uterine bleeding, threatened abortion, and unexplained hematuria. Distal bleeding also involves syndromes of failing to keep part deficient and cold fluids in interior, such as nocturia, enuresis, clear nose, sweating, cold tears, and leucorrhea, and excessive gastrointestinal bleeding caused by anti-plate and anticoagulant drugs, unexplained positive in the fecal occult blood test, and other modern clinical new problems. The indications of Huangtu Decoction include not only lower blood, defecation before blood, distant blood, hematemesis, epistaxis, and other diseases in traditional Chinese medicine, but also three types of clinical manifestations including bleeding, deficiency syndrome, and stagnant heat syndrome. In the clinic, Huangtu Decoction can be used to treat acute upper gastrointestinal bleeding, acute coronary syndrome complicated with acute upper gastrointestinal bleeding, bleeding events caused by excessive antiplatelet and anticoagulant drugs, unexplained positive in the fecal occult blood test, gastrointestinal tumor with bleeding, thrombocytopenia, and other acute and critical diseases. The dosage of Cooking Stove Earthkey, Rehmanniae Radix, and Asini Corii Colla in Huangtu Decoction is the key to hemostasis.
Humans
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Gastrointestinal Hemorrhage/drug therapy*
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Acute Coronary Syndrome
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Epistaxis
;
Esophageal and Gastric Varices
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Anticoagulants
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Thrombocytopenia
;
Critical Care