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Primary prophylaxis of variceal bleeding

Primary prophylaxis of variceal bleeding Hepatology International (2018) 12:1–5 https://doi.org/10.1007/s12072-018-9846-1(0123456789().,-volV)(0123456789().,-volV) EDITORIAL 1,2 1 Marcus Robertson Peter Hayes Received: 23 December 2017 / Accepted: 23 January 2018 / Published online: 2 February 2018 Asian Pacific Association for the Study of the Liver 2018 direct variceal eradication through serial endoscopic var- Introduction iceal ligation (EVL) procedures. Current expert consensus is that NSBBs or EVL have largely equivalent efficacy in Varices are prevalent in patients with cirrhosis and repre- preventing AVB; the choice of treatment should be based sent the development of portosystemic collateral vessels as on individual patient characteristics, local resources and a consequence of portal hypertension. Acute variceal expertise and patient preference [6, 7]. Primary prophylaxis bleeding (AVB) remains a common and life-threatening is addressed in this journal in the paper by Abd ElRahim complication associated with significant morbidity and et al. [8]. mortality. Improvements in management along with an expansion in the therapeutic armamentarium have resulted in a significant improvement in the mortality rate associ- Risk-factors for variceal bleeding ated with an episode of AVB, although this remains around 15–20% [1]. Thus, variceal bleeding continues to be a All patients with cirrhosis should be assessed for the leading cause of death in patients with http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Hepatology International Springer Journals

Primary prophylaxis of variceal bleeding

Robertson, Marcus; Hayes, Peter
Hepatology International , Volume 12 (1) – Feb 2, 2018
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References (23)

Publisher
Springer Journals
Copyright
Copyright © 2018 by Asian Pacific Association for the Study of the Liver
Subject
Medicine & Public Health; Hepatology; Colorectal Surgery; Surgery
ISSN
1936-0533
eISSN
1936-0541
DOI
10.1007/s12072-018-9846-1
pmid
29396732
Publisher site
See Article on Publisher Site

Abstract

Hepatology International (2018) 12:1–5 https://doi.org/10.1007/s12072-018-9846-1(0123456789().,-volV)(0123456789().,-volV) EDITORIAL 1,2 1 Marcus Robertson Peter Hayes Received: 23 December 2017 / Accepted: 23 January 2018 / Published online: 2 February 2018 Asian Pacific Association for the Study of the Liver 2018 direct variceal eradication through serial endoscopic var- Introduction iceal ligation (EVL) procedures. Current expert consensus is that NSBBs or EVL have largely equivalent efficacy in Varices are prevalent in patients with cirrhosis and repre- preventing AVB; the choice of treatment should be based sent the development of portosystemic collateral vessels as on individual patient characteristics, local resources and a consequence of portal hypertension. Acute variceal expertise and patient preference [6, 7]. Primary prophylaxis bleeding (AVB) remains a common and life-threatening is addressed in this journal in the paper by Abd ElRahim complication associated with significant morbidity and et al. [8]. mortality. Improvements in management along with an expansion in the therapeutic armamentarium have resulted in a significant improvement in the mortality rate associ- Risk-factors for variceal bleeding ated with an episode of AVB, although this remains around 15–20% [1]. Thus, variceal bleeding continues to be a All patients with cirrhosis should be assessed for the leading cause of death in patients with

Journal

Hepatology International – Springer Journals

Published: Feb 2, 2018

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