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3 osorbide-mononitrate (ISMN), carvedilol, and variceal band ligation (VBL), alone or in combination, w
6 nt options for secondary prophylaxis include variceal band ligation, beta blockers, a combination of
13 n, 9.3% versus 3.4%, P = 0.048, or who had a variceal bleed as the index presentation of AIH, 20% ver
16 s causes of death in individuals after a non-variceal bleed compared with deaths in a matched sample
17 l varices and the prophylaxis of the initial variceal bleed has lagged behind these other interventio
21 -blocker therapy, the relative risk of first variceal bleed was 0.48 (0.24-0.96), with NNT of 13; how
23 ients with cirrhosis and a recent esophageal variceal bleed were randomized to either endoscopic band
24 prophylaxis or that prevention of a sentinel variceal bleed will ultimately improve survival; therefo
25 d, including one in the standard care group (variceal bleed) and two in the G-CSF and stem-cell infus
26 opathy, hepatocellular carcinoma, esophageal variceal bleed, and spontaneous bacterial peritonitis.
27 ne or more of the following events: varices, variceal bleed, ascites, encephalopathy, liver transplan
28 untreated controls, relative risks of first variceal bleed, bleed-related mortality, and all-cause m
29 d the number needed to treat (NNT) for first variceal bleed, bleed-related mortality, and all-cause m
30 nical features such as history of esophageal variceal bleed, encephalopathy or ascites, and laborator
38 rrhosis and massive or refractory esophageal variceal bleeding (EVB), but is frequently associated wi
43 tions reviewed in this paper are varices and variceal bleeding (primary prophylaxis, treatment of the
44 tions reviewed in this paper are varices and variceal bleeding (primary prophylaxis, treatment of the
45 ons discussed in this review are varices and variceal bleeding (primary prophylaxis, treatment of the
46 ion (EVL) are used for primary prevention of variceal bleeding (VB) in patients with cirrhosis with m
50 46 +/- 26 months) for primary end points of variceal bleeding and encephalopathy and secondary end p
51 uggest a new pathophysiology in the cause of variceal bleeding and imply new methods to prevent and t
52 rrhotic patients with acute gastroesophageal variceal bleeding and is an independent factor to predic
54 MRB for primary and secondary prophylaxis of variceal bleeding and other complications, if appropriat
56 proaches in primary prevention of esophageal variceal bleeding and overall survival in patients with
57 Clinical outcome measures included survival, variceal bleeding and rebleeding, early-stage HCC, liver
58 bdominal and chest varices, gastroesophageal variceal bleeding and refractory ascites than sub-acute
60 igation plus nadolol in preventing recurrent variceal bleeding and several meta-analyses on trials co
61 in/terlipressin in the control of esophageal variceal bleeding and suggest it is a safe and effective
62 osis results in a high likelihood of gastric variceal bleeding and that splenectomy should be perform
64 tient with refractory esophagogastroduodenal variceal bleeding as a result of diffuse portomesenteric
65 on developed refractory duodenal and jejunal variceal bleeding as a result of diffuse visceral splanc
67 patients with cirrhosis admitted with acute variceal bleeding between 2001 and 2010 were prospective
68 y than the 629 nonusers to have a history of variceal bleeding but less likely to have Child-Pugh cla
69 s significantly higher within admissions for variceal bleeding compared with nonelective ICU admissio
74 ICU and mortality of cirrhotic patients with variceal bleeding has declined significantly over time c
76 vascular procedures in patients with gastric variceal bleeding have changed after the emergence of 'p
77 al failure, when other treatment options for variceal bleeding have failed, particularly in a younger
79 rly efficacious in the control of refractory variceal bleeding in Child-Pugh class A and B patients.
80 ll tolerated and greatly reduces the risk of variceal bleeding in children with biliary atresia and h
83 se all-cause mortality and the risk of first variceal bleeding in patients with cirrhosis with large
85 ening were at similarly low risk of incident variceal bleeding in the future; patients with cirrhosis
97 ed with a lower risk of recurrent or de novo variceal bleeding or ascites (hazard ratio, 0.11; 95% co
98 red as a rescue therapy in case of recurrent variceal bleeding or failure of endoscopic management.
99 ifference in the reduction in mortality from variceal bleeding over time between liver transplant and
100 copic therapy, TIPS leads to lower recurrent variceal bleeding rates and it is more cost effective in
102 e of a patient with massive gastroesophageal variceal bleeding refractory to numerous endoscopic trea
105 lity in patients with cirrhosis and previous variceal bleeding stratified by cirrhosis severity (Chil
108 withdrawal of propranolol, the freedom from variceal bleeding was not significantly different betwee
112 Patients with cirrhosis with controlled variceal bleeding were randomized to an HVPG-guided ther
114 patients hospitalized with acute esophageal variceal bleeding who had successful ligation at present
115 patients successfully treated for esophageal variceal bleeding with endoscopic sclerotherapy who rece
116 decompensation (ascites, encephalopathy, and variceal bleeding), hepatocellular carcinoma, liver tran
118 second episode of gastric and/or esophageal variceal bleeding, after hemodynamic stabilization upon
119 ergency portacaval shunt permanently stopped variceal bleeding, almost never became occluded, accompl
122 band ligation may be used to temporize acute variceal bleeding, and should be applied on the proximal
123 atorenal syndrome, hepatocellular carcinoma, variceal bleeding, and spontaneous bacterial peritonitis
124 f cirrhotic patients admitted to the ICU for variceal bleeding, and to compare it to the outcomes of
125 patients with cirrhosis who have infections, variceal bleeding, as well as in patients with fulminant
126 ortality and coincided with hospitalization, variceal bleeding, bacterial infection, and/or developme
127 therapies have a role in temporizing active variceal bleeding, but relief of the underlying SVC obst
128 re, Child-Pugh score, serum sodium, previous variceal bleeding, cirrhosis etiology, and ascites sever
129 derwent successful endoscopic hemostasis for variceal bleeding, covered TIPS was superior to EVL + be
130 fter excluding 28 patients with a history of variceal bleeding, data on 183 patients were analyzed to
131 Major complications of cirrhosis, such as variceal bleeding, encephalopathy, and hepatorenal syndr
132 ly) on liver decompensation events (ascites, variceal bleeding, encephalopathy, and/or hepatocellular
133 te-Pugh score >or=7 on 2 consecutive visits, variceal bleeding, hepatic encephalopathy, and liver-rel
134 presence of hepatic encephalopathy, ascites, variceal bleeding, hepatocellular carcinoma, paracentesi
135 indications but also further decompensation (variceal bleeding, hepatorenal syndrome) and improves su
137 five AMA positive patients without ascites, variceal bleeding, or encephalopathy; a serum bilirubin
138 lopment of: ascites, hepatic encephalopathy, variceal bleeding, prothrombin <45%, serum bilirubin >45
139 outcomes [CTP > 7, ascites, encephalopathy, variceal bleeding, SBP, HCC, death] had significantly hi
140 opments in the pathophysiology of esophageal variceal bleeding, screening for esophageal varices, pre
141 elated adverse events such as liver failure, variceal bleeding, serious infections, spontaneous bacte
142 For the prevention of recurrent esophageal variceal bleeding, studies show that patients treated wi
144 eening for esophageal varices, prediction of variceal bleeding, treatment of esophageal varices and n
145 158 patients) reported rates of spontaneous variceal bleeding, which occurred in a significantly low
165 hout liver transplantation; transplantation; variceal bleeding; development of ascites, encephalopath
166 ACLF type; I: drug, infection, surgery, and variceal bleeding; R: systemic inflammatory response syn
169 hysiology of collateral circulation, gastric variceal classification has been refined to include infl
170 ve endovascular treatments such as shunt and variceal complex embolization with or without transjugul
171 ers and endoscopic therapy can be managed by variceal decompression with either surgical shunts or tr
173 of preprimary prophylaxis (PPP) is to avoid variceal development, and therefore it necessarily deals
174 -hemodynamic improvements, avoiding not only variceal development, but also other PH-related complica
175 ew 'portal hypertension theories' of gastric variceal disease and corresponding management and shed l
176 an improvement in the management of gastric variceal disease through newer modalities of treatment s
180 e and predictors of de novo gastroesophageal variceal formation and progression in a large cohort of
183 otic patients undergoing TIPSS insertion for variceal haemorrhage and correlate this with outcome.
184 e that bacterial infections in patients with variceal haemorrhage may be the critical factor that tri
185 26 patients with alcoholic cirrhosis and variceal haemorrhage were studied prior to and 1-hour af
187 ), pneumonia (7%), hemobilia (7%), esophagus variceal hemorrhage (3%), and vascular diseases (10%).
188 ranolol than banding patients had esophageal variceal hemorrhage (4/31 vs. 0/31; difference, 12.9%; P
189 jects who developed liver failure (7 vs. 3), variceal hemorrhage (5 vs. 8), or acute renal failure (3
190 opranolol, 24 former placebo), 9 experienced variceal hemorrhage (6 former propranolol, 3 former plac
196 tion (defined as the development of ascites, variceal hemorrhage [VH], or hepatic encephalopathy [HE]
197 elopment of hepatic decompensation (ascites, variceal hemorrhage and hepatic encephalopathy), which d
199 esponders to pharmacological therapy after a variceal hemorrhage are adequately protected from reblee
200 late may decrease the probability of gastric variceal hemorrhage compared to nonselective beta-blocke
201 Octreotide improved control of esophageal variceal hemorrhage compared with all alternative therap
202 late may decrease the probability of gastric variceal hemorrhage compared with nonselective beta-bloc
203 entified randomized trials of octreotide for variceal hemorrhage from computerized databases, scienti
207 t and for the treatment of gastro-esophageal variceal hemorrhage in patients with decompensated cirrh
208 to the management of portal hypertension and variceal hemorrhage in pediatrics remain controversial,
211 ocker therapy for the primary prophylaxis of variceal hemorrhage is a cost-effective measure, as the
212 dard care for prevention of first esophageal variceal hemorrhage is beta-blockade, but this may be in
213 spective studies on beta blockers to prevent variceal hemorrhage lack long-term follow-up, and indefi
214 was used to adjust trends in nonvariceal and variceal hemorrhage mortality for age, sex, and comorbid
215 the development of endoscopically documented variceal hemorrhage or a severe medical complication req
219 1 variables available before TIPS placement, variceal hemorrhage requiring emergent TIPS placement (r
220 When propranolol is withdrawn, the risk of variceal hemorrhage returns to what would be expected in
222 ere assigned randomly more than 5 days after variceal hemorrhage to groups given a small covered tran
226 of propranolol for the primary prevention of variceal hemorrhage were tapered off of propranolol and
227 Fifty-six patients had TIPS placement for variceal hemorrhage, 49 for refractory ascites, and 24 f
228 ions associated with cirrhosis, specifically variceal hemorrhage, ascites and hepatic encephalopathy.
229 sponsible for its most common complications: variceal hemorrhage, ascites, and portosystemic encephal
230 sponsible for its most common complications: variceal hemorrhage, ascites, and portosystemic encephal
232 cterial peritonitis, hepatic encephalopathy, variceal hemorrhage, hepatocellular carcinoma, and morta
233 r disease, and it predisposes the patient to variceal hemorrhage, hepatorenal syndrome, hepatopulmona
234 the protective effect of propranolol against variceal hemorrhage, noted previously, was no longer pre
236 gh-risk esophageal varices and no history of variceal hemorrhage, propranolol-treated patients had si
237 on, muscle wasting, ascites, esophagogastric variceal hemorrhage, spontaneous bacterial peritonitis,
238 resence of extrahepatic biliary disease, and variceal hemorrhage, which predicted 2-year and 10-year
252 e both effective for primary prophylaxis for variceal hemorrhage; however, the route of administratio
253 bleeding were more likely to have endoscopic variceal hemostasis delayed more than 24 hours after adm
255 hough both beta-blockade (BB) and endoscopic variceal ligation (EVL) are used for primary prevention
257 enter randomized trial, long-term endoscopic variceal ligation (EVL) or glue injection + beta-blocker
258 selective beta-blockers (BBs) and endoscopic variceal ligation (EVL) to prevent a first variceal blee
259 oracentesis, and routine upper endoscopy for variceal ligation in patients with hepatic synthetic dys
260 l varices without bleeding, prophylaxis with variceal ligation or beta-blockers was similar in terms
262 of varices, a randomized trial of endoscopic variceal ligation plus nadolol in preventing recurrent v
263 macologic therapy, development of endoscopic variceal ligation, and the maturing of liver transplanta
264 tion for primary prophylaxis with endoscopic variceal ligation, sclerotherapy, or nonspecific beta-bl
265 of several randomized trials of prophylactic variceal ligation, the effect on bleeding-related outcom
270 counts (P = .0002) were at greatest risk of variceal progression (area under the receiver operating
275 nts, 173 had the procedure for prevention of variceal rebleeding and 58 for treatment of refractory a
276 treatment (ET) is frequently used to prevent variceal rebleeding but this still occurs in about 50% o
278 vered TIPS was straightforward and prevented variceal rebleeding in patients with Child A or B cirrho
279 During follow-up (mean 27 +/- 29 months), variceal rebleeding occurred in 7/25 (28%), including th
280 oing elective TIPS, either for prevention of variceal rebleeding or for treatment of refractory ascit
281 owing elective TIPS for either prevention of variceal rebleeding or for treatment of refractory ascit
282 ockers (EVL+BB) is currently recommended for variceal rebleeding prophylaxis, a recommendation that e
283 are is relevant, and in published studies on variceal rebleeding prophylaxis, there is a lack of info
285 f antibiotic prophylaxis in preventing early variceal rebleeding, and a trial of synbiotic therapy in
287 ligation is the standard approach to prevent variceal rebleeding, but bleeding recurs and mortality i
292 iver cirrhosis who had undergone LSSM-guided variceal screening were at similarly low risk of inciden
293 surveillance (HR, 0.92; 95% CI, 0.90-0.95), variceal surveillance (HR, 0.93; 95% CI, 0.89-0.99), and
294 outpatient access to specialty care was 71%, variceal surveillance was 32%, and early postdischarge c
295 care, hepatocellular carcinoma surveillance, variceal surveillance, quality of inpatient care for upp
298 ents with liver cirrhosis, patients with non-variceal upper gastrointestinal bleeding, and patients w
300 ty in England following both nonvariceal and variceal upper gastrointestinal hemorrhage decreased fro