Home Journals Articles Updates About
CN
image
收藏切换
Treatment strategies of variceal bleeding in cirrhosis
收藏切换
PDF
Tong Xiang, Xue-Feng Luo*, Li Yang
Medical Journal of Chinese People’s Liberation Army | 2023, 48(10) : 1115 - 1121
Less
收藏切换
Medical Journal of Chinese People’s Liberation Army | 2023, 48(10): 1115-1121
• Expert Review •
Treatment strategies of variceal bleeding in cirrhosis
Full
Tong Xiang, Xue-Feng Luo*, Li Yang
Affiliations
  • Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University/Sichuan University-University of Oxford Huaxi Joint Centre for Gastrointestinal Cancer, Chengdu, Sichuan 610041, China
Published: 2023-10-28 doi: 10.11855/j.issn.0577-7402.2124.2023.0303
Outline
收藏切换

Esophagogastric variceal bleeding in cirrhotic patients is associated with high mortality if not adequately managed. Standardized treatment of esophagogastric variceal bleeding includes adequate resuscitation maneuvers, restrictive transfusion policy, antibiotic prophylaxis, pharmacologic therapy, and endoscopic therapy. After this initial treatment, the most appropriate therapy to prevent both early and late rebleeding must be instituted following a risk stratification strategy. Placing a preemptive transjugular intrahepatic portosystemic shunt in high-risk patients, as soon as possible after admission, to achieve early control of bleeding has proved to improve survival. The present review will focus on the initial management of patients with acute esophagogastric variceal bleeding, including general management and assessment, pharmacotherapy, as well as the available endoscopic, interventional and salvage treatments, trying to provide reference for standardizing the treatment process of such patients, in order to improve their survival rate.

liver cirrhosis  /  gastrointestinal hemorrhage  /  esophageal and gastric varices  /  treatment
Tong Xiang, Xue-Feng Luo, Li Yang. Treatment strategies of variceal bleeding in cirrhosis[J]. Medical Journal of Chinese People’s Liberation Army, 2023 , 48 (10) : 1115 -1121 . DOI: 10.11855/j.issn.0577-7402.2124.2023.0303
Funding
Less
  • International Cooperation Project of Science and Technology Department of Sichuan Province(2020YFH0089)
  • 1-3-5 Project for Disciplines of Excellence-Clinical Research Incubation Project, West China Hospital, Sichuan University(2019HXFH055)
Appendix
Less
Year 2023 volume 48 Issue 10
PDF
351
160
Cite this Article
BibTeX
Article Info
doi: 10.11855/j.issn.0577-7402.2124.2023.0303
  • Receive Date：2022-10-13
  • Online Date：2025-11-25
  • Published：2023-10-28
Article Data
Affiliations
History
  • Received：2022-10-13
  • Accepted：2022-11-27
Funding
International Cooperation Project of Science and Technology Department of Sichuan Province(2020YFH0089)
1-3-5 Project for Disciplines of Excellence-Clinical Research Incubation Project, West China Hospital, Sichuan University(2019HXFH055)
Affiliations
    Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University/Sichuan University-University of Oxford Huaxi Joint Centre for Gastrointestinal Cancer, Chengdu, Sichuan 610041, China

Corresponding:

References
Share
https://castjournals.cast.org.cn/joweb/jfjyxzz/EN/10.11855/j.issn.0577-7402.2124.2023.0303
Share to
QR

Scan QR to access full text

Cite this article
BibTeX
Citations
表12种不同金属材料的力学参数
科
Family		 属数
Number of
genus		 种数
Number of
species		 占总种数比例
Percentage of
total species (%)		 属
Genus		 种数
Number of
species		 占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
关闭全屏
  • BibTeX
  • EndNote
  • RefWorks
  • TxT
Links
Articles
Latest Articles
Most Read
Collections
Updates
Events
News
Multimedia
About
About Us
Contact
No. 86 Xueyuan South Road, Haidian District, Beijing
100081
010-62199257
qkjq@cast.org.cn

Copyright © 2025 China Association for Science and Technology. All rights reserved. For all open access content, the relevant licensing terms apply.
Sponsored by the Office of the Leading Group for Cybersecurity and Informatization of CAST, and supported by Science and Technology Review Publishing House