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J Gastroenterol Hepatol. 1998 Nov;13:S161-S165. doi: 10.1111/j.1440-1746.1998.tb01870.x.

Variceal haemorrhage: An update on treatment.

Journal of gastroenterology and hepatology

Joseph Jy Sung

Affiliations

  1. Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong.

PMID: 28976657 DOI: 10.1111/j.1440-1746.1998.tb01870.x

Abstract

Recent advances in the management of variceal haemorrhage include injection of cyanoacrylate and the use of banding ligation. New pharmacological agents, such as somatostatin and octreotide, have also proved to be effective in controlling variceal haemorrhage. The transjugular intrahepatic porto-systemic shunt (TIPS) represents an effective rescue when other treatment modalities fail. A multi-disciplinary approach should be emphasized in the management of this high-risk complication of portal hypertension.

© 1998 The Official Publication of the Asian Pacific Association for the Study of the Liver and the Asian Pacific Association of Gastroenterology.

Keywords: bleeding; endoscopy; varices

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