Review
Modern management of oesophageal varices
P J Gow, R W Chapman
Department of
Gastroenterology, Oxford Radcliffe Hospital, Headley Way, Headington,
Oxford OX3 9DU, UK
Correspondence to: Dr Chapman
Submitted 29 March
2000;
Accepted 4 July 2000
Haemorrhage from oesophageal varices is a life threatening
emergency with a mortality rate in the order of 30%-50%. In the last
three decades there have been many advances in the treatment and
prevention of variceal bleeding. Over recent years the introduction of
new pharmaceutical agents that reduce portal pressure, endoscopic variceal ligation, transjugular intrahepatic portosystemic shunt, and
the availability of liver transplantation have further increased the
therapeutic options available to the physician treating this disorder.
This article reviews the literature regarding therapies available in
the treatment of haemorrhage from oesophageal varices and provides
guidelines to aid the physicians in clinical decision making.
Keywords: oesophageal varices; portal hypertension; transjugular intrahepatic portosystemic shunt (TIPS); liver transplantation
© 2001 by The Fellowship of Postgraduate Medicine
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