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Can I read Prevention Of Variceal Rebleeding on EtoBox?
Prevention Of Variceal Rebleeding by Andrew K. Burroughs; P. Aiden McCormick is a Medicine article available to read on EtoBox.
What is Prevention Of Variceal Rebleeding about?
Recurrent variceal hemorrhage occurs in 50% to 80% of cirrhotic patients who survive a variceal bleeding episode. The aim of preventing rebleeding is to improve survival by reducing the mortality associated with rebleeding; however, although shunt surgery is the most effective treatment to prevent recurrent bleeding, it does not increase survival and is associated with an increased incidence of chronic portosystemic encephalopathy. The distal splenorenal shunt is associated with a reduced incidence of encephalopathy, compared with nonselective shunts, but the true magnitude and longevity of this effect is still controversial. beta-Blockers reduce the incidence of rebleeding, but the effect is modest, and there is little or no effect on mortality when compared with no treatment. Injection sclerotherapy reduces the incidence of rebleeding and improves survival when a schedule of both emergency and long-term injection is compared with no sclerotherapy. No technical variation of injection sclerotherapy has been shown to be superior to another. Endoscopic variceal banding may result in fewer complications but the efficacy is similar to that of injection sclerotherapy. Trials of long-ter
Who reads Prevention Of Variceal Rebleeding?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Andrew K. Burroughs; P. Aiden McCormick
- Publisher
- Elsevier BV
- Published
- 1992
- Language
- EN
- Field
- Medicine (Health Sciences)