Jove
Visualize
Contact Us

Related Experiment Videos

Esophageal varices

J S Goff1

  • 1University of Colorado Health Sciences Center, Denver.

Gastrointestinal Endoscopy Clinics of North America
|October 1, 1994
PubMed
Summary
This summary is machine-generated.

This study outlines a stepwise approach to managing acute esophageal variceal bleeding, a complication of portal hypertension. Effective treatment involves initial resuscitation, pharmacotherapy, endoscopic interventions, and potentially surgical or radiologic procedures for refractory cases.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Treatment of chronic hepatitis C with amantadine.

Digestive diseases and sciences·2000
Same author

Long-term experience with the transpancreatic sphincter pre-cut approach to biliary sphincterotomy.

Gastrointestinal endoscopy·1999
Same author

Lansoprazole: a cause of secretory diarrhea.

The American journal of gastroenterology·1998
Same author

Measuring outcome after liver transplantation: a critical review.

Liver transplantation and surgery : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·1998
Same author

Percutaneous mesenteric venous thrombectomy and thrombolysis: successful treatment followed by liver transplantation.

Liver transplantation and surgery : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·1998
Same author

Endoscopic intervention for biliary leaks after laparoscopic cholecystectomy: a multicenter review.

Gastrointestinal endoscopy·1998
Same journal

Transform-The Path Forward: Endoscopy and the Science of Expertise.

Gastrointestinal endoscopy clinics of North America·2026
Same journal

Ushering in a New Era of Training in Endoscopy.

Gastrointestinal endoscopy clinics of North America·2026
Same journal

Where Do We Go from Here: Transforming Teaching Endoscopy Knowledge Using the Expert Performance Approach.

Gastrointestinal endoscopy clinics of North America·2026
Same journal

Integrating Artificial Intelligence into Endoscopy Training.

Gastrointestinal endoscopy clinics of North America·2026
Same journal

From Expert to Educator: Translating Expert Performance into Teachable Competencies Through Trainer Development in Endoscopic Simulation.

Gastrointestinal endoscopy clinics of North America·2026
Same journal

Implementing Endoscopy Simulation Nationally.

Gastrointestinal endoscopy clinics of North America·2026
See all related articles
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Area of Science:

  • Gastroenterology
  • Hepatology
  • Interventional Endoscopy

Background:

  • Portal hypertension frequently leads to the formation of esophageal varices.
  • Esophageal varices pose a significant risk of life-threatening hemorrhage.

Purpose of the Study:

  • To describe a logical, stepwise management strategy for acute variceal bleeding.
  • To review current therapeutic options for controlling and preventing recurrent esophageal variceal hemorrhage.

Main Methods:

  • The abstract reviews established treatment protocols for acute variceal hemorrhage.
  • It details pharmacologic, endoscopic, radiologic, and surgical interventions.
  • Preventive strategies, including beta-blockade and endoscopic obliteration, are discussed.

Related Experiment Videos

Main Results:

  • Initial management involves fluid resuscitation followed by vasopressin, somatostatin, or Sengstaken-Blakemore tube tamponade.
  • Endoscopic therapies like sclerotherapy or variceal ligation are subsequent treatment options.
  • Refractory bleeding may necessitate embolization, shunting, esophageal transection, or liver transplantation.

Conclusions:

  • A structured, stepwise approach is crucial for managing acute variceal bleeding.
  • Endoscopic obliteration is recommended after bleeding control to prevent recurrence.
  • Prophylactic sclerotherapy is not generally beneficial.