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3 patic portosystemic stent-shunt (TIPSS) with variceal band ligation (VBL) in the secondary prophylaxi
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 ne or more of the following events: varices, variceal bleed, ascites, encephalopathy, liver transplan
27 untreated controls, relative risks of first variceal bleed, bleed-related mortality, and all-cause m
28 d the number needed to treat (NNT) for first variceal bleed, bleed-related mortality, and all-cause m
29 nical features such as history of esophageal variceal bleed, encephalopathy or ascites, and laborator
36 rrhosis and massive or refractory esophageal variceal bleeding (EVB), but is frequently associated wi
38 atients who had undergone TIPS placement for variceal bleeding (n = 28) or intractable ascites (n = 1
41 tions reviewed in this paper are varices and variceal bleeding (primary prophylaxis, treatment of the
42 tions reviewed in this paper are varices and variceal bleeding (primary prophylaxis, treatment of the
43 ons discussed in this review are varices and variceal bleeding (primary prophylaxis, treatment of the
44 ion (EVL) are used for primary prevention of variceal bleeding (VB) in patients with cirrhosis with m
47 46 +/- 26 months) for primary end points of variceal bleeding and encephalopathy and secondary end p
48 uggest a new pathophysiology in the cause of variceal bleeding and imply new methods to prevent and t
49 rrhotic patients with acute gastroesophageal variceal bleeding and is an independent factor to predic
51 ection is associated with failure to control variceal bleeding and needs to be evaluated in the plann
52 MRB for primary and secondary prophylaxis of variceal bleeding and other complications, if appropriat
53 bdominal and chest varices, gastroesophageal variceal bleeding and refractory ascites than sub-acute
55 igation plus nadolol in preventing recurrent variceal bleeding and several meta-analyses on trials co
56 in/terlipressin in the control of esophageal variceal bleeding and suggest it is a safe and effective
57 osis results in a high likelihood of gastric variceal bleeding and that splenectomy should be perform
59 tient with refractory esophagogastroduodenal variceal bleeding as a result of diffuse portomesenteric
60 on developed refractory duodenal and jejunal variceal bleeding as a result of diffuse visceral splanc
62 patients with cirrhosis admitted with acute variceal bleeding between 2001 and 2010 were prospective
63 y than the 629 nonusers to have a history of variceal bleeding but less likely to have Child-Pugh cla
68 al failure, when other treatment options for variceal bleeding have failed, particularly in a younger
71 rly efficacious in the control of refractory variceal bleeding in Child-Pugh class A and B patients.
72 ll tolerated and greatly reduces the risk of variceal bleeding in children with biliary atresia and h
73 ylactically in one patient with a history of variceal bleeding in order to prevent this complication
76 during the first 5 days after the episode of variceal bleeding in relation to the diagnosis of bacter
87 ed with a lower risk of recurrent or de novo variceal bleeding or ascites (hazard ratio, 0.11; 95% co
88 ct were more often correlated with recurrent variceal bleeding or ascites than were hepatic vein sten
90 red as a rescue therapy in case of recurrent variceal bleeding or failure of endoscopic management.
91 PS) are sometimes used to reduce the risk of variceal bleeding or treat intractable ascites before or
92 udy was to compare the cost-effectiveness of variceal bleeding prophylaxis with propranolol, scleroth
93 copic therapy, TIPS leads to lower recurrent variceal bleeding rates and it is more cost effective in
95 e of a patient with massive gastroesophageal variceal bleeding refractory to numerous endoscopic trea
97 lity in patients with cirrhosis and previous variceal bleeding stratified by cirrhosis severity (Chil
99 withdrawal of propranolol, the freedom from variceal bleeding was not significantly different betwee
103 Patients with cirrhosis with controlled variceal bleeding were randomized to an HVPG-guided ther
105 role in treatment of selected patients with variceal bleeding who are not present or future transpla
106 patients hospitalized with acute esophageal variceal bleeding who had successful ligation at present
107 that of 180 adult patients with a history of variceal bleeding who underwent transplantation soon aft
108 patients successfully treated for esophageal variceal bleeding with endoscopic sclerotherapy who rece
109 decompensation (ascites, encephalopathy, and variceal bleeding), hepatocellular carcinoma, liver tran
111 second episode of gastric and/or esophageal variceal bleeding, after hemodynamic stabilization upon
112 ergency portacaval shunt permanently stopped variceal bleeding, almost never became occluded, accompl
115 band ligation may be used to temporize acute variceal bleeding, and should be applied on the proximal
116 atorenal syndrome, hepatocellular carcinoma, variceal bleeding, and spontaneous bacterial peritonitis
117 patients with cirrhosis who have infections, variceal bleeding, as well as in patients with fulminant
118 ortality and coincided with hospitalization, variceal bleeding, bacterial infection, and/or developme
119 ng events, total days of hospitalization for variceal bleeding, blood transfusion requirements after
120 therapies have a role in temporizing active variceal bleeding, but relief of the underlying SVC obst
121 re, Child-Pugh score, serum sodium, previous variceal bleeding, cirrhosis etiology, and ascites sever
122 derwent successful endoscopic hemostasis for variceal bleeding, covered TIPS was superior to EVL + be
123 fter excluding 28 patients with a history of variceal bleeding, data on 183 patients were analyzed to
124 Major complications of cirrhosis, such as variceal bleeding, encephalopathy, and hepatorenal syndr
125 ly) on liver decompensation events (ascites, variceal bleeding, encephalopathy, and/or hepatocellular
126 tion in the development of ascites, varices, variceal bleeding, encephalopathy, liver transplantation
127 significant increases in the RR of ascites, variceal bleeding, encephalopathy, or death between the
128 te-Pugh score >or=7 on 2 consecutive visits, variceal bleeding, hepatic encephalopathy, and liver-rel
129 indications but also further decompensation (variceal bleeding, hepatorenal syndrome) and improves su
131 five AMA positive patients without ascites, variceal bleeding, or encephalopathy; a serum bilirubin
132 lopment of: ascites, hepatic encephalopathy, variceal bleeding, prothrombin <45%, serum bilirubin >45
133 outcomes [CTP > 7, ascites, encephalopathy, variceal bleeding, SBP, HCC, death] had significantly hi
134 opments in the pathophysiology of esophageal variceal bleeding, screening for esophageal varices, pre
135 elated adverse events such as liver failure, variceal bleeding, serious infections, spontaneous bacte
136 For the prevention of recurrent esophageal variceal bleeding, studies show that patients treated wi
137 good-risk patients underwent operations for variceal bleeding, the incidence of postoperative enceph
139 eening for esophageal varices, prediction of variceal bleeding, treatment of esophageal varices and n
140 158 patients) reported rates of spontaneous variceal bleeding, which occurred in a significantly low
159 hout liver transplantation; transplantation; variceal bleeding; development of ascites, encephalopath
163 ers and endoscopic therapy can be managed by variceal decompression with either surgical shunts or tr
165 of preprimary prophylaxis (PPP) is to avoid variceal development, and therefore it necessarily deals
166 -hemodynamic improvements, avoiding not only variceal development, but also other PH-related complica
171 e and predictors of de novo gastroesophageal variceal formation and progression in a large cohort of
175 otic patients undergoing TIPSS insertion for variceal haemorrhage and correlate this with outcome.
176 e that bacterial infections in patients with variceal haemorrhage may be the critical factor that tri
177 26 patients with alcoholic cirrhosis and variceal haemorrhage were studied prior to and 1-hour af
179 ), pneumonia (7%), hemobilia (7%), esophagus variceal hemorrhage (3%), and vascular diseases (10%).
180 ranolol than banding patients had esophageal variceal hemorrhage (4/31 vs. 0/31; difference, 12.9%; P
181 jects who developed liver failure (7 vs. 3), variceal hemorrhage (5 vs. 8), or acute renal failure (3
182 opranolol, 24 former placebo), 9 experienced variceal hemorrhage (6 former propranolol, 3 former plac
188 tion (defined as the development of ascites, variceal hemorrhage [VH], or hepatic encephalopathy [HE]
191 esponders to pharmacological therapy after a variceal hemorrhage are adequately protected from reblee
192 late may decrease the probability of gastric variceal hemorrhage compared to nonselective beta-blocke
193 Octreotide improved control of esophageal variceal hemorrhage compared with all alternative therap
194 late may decrease the probability of gastric variceal hemorrhage compared with nonselective beta-bloc
196 entified randomized trials of octreotide for variceal hemorrhage from computerized databases, scienti
202 to the management of portal hypertension and variceal hemorrhage in pediatrics remain controversial,
205 ocker therapy for the primary prophylaxis of variceal hemorrhage is a cost-effective measure, as the
206 dard care for prevention of first esophageal variceal hemorrhage is beta-blockade, but this may be in
207 spective studies on beta blockers to prevent variceal hemorrhage lack long-term follow-up, and indefi
208 was used to adjust trends in nonvariceal and variceal hemorrhage mortality for age, sex, and comorbid
209 the development of endoscopically documented variceal hemorrhage or a severe medical complication req
213 1 variables available before TIPS placement, variceal hemorrhage requiring emergent TIPS placement (r
214 When propranolol is withdrawn, the risk of variceal hemorrhage returns to what would be expected in
216 ere assigned randomly more than 5 days after variceal hemorrhage to groups given a small covered tran
220 esented with the first episode of esophageal variceal hemorrhage were randomized to TIPSS (31) or VBL
221 of propranolol for the primary prevention of variceal hemorrhage were tapered off of propranolol and
222 Fifty-six patients had TIPS placement for variceal hemorrhage, 49 for refractory ascites, and 24 f
223 ions associated with cirrhosis, specifically variceal hemorrhage, ascites and hepatic encephalopathy.
224 sponsible for its most common complications: variceal hemorrhage, ascites, and portosystemic encephal
225 sponsible for its most common complications: variceal hemorrhage, ascites, and portosystemic encephal
227 ding 10 (56%) of 18 patients with refractory variceal hemorrhage, had thrombus in the portal venous s
228 cterial peritonitis, hepatic encephalopathy, variceal hemorrhage, hepatocellular carcinoma, and morta
229 r disease, and it predisposes the patient to variceal hemorrhage, hepatorenal syndrome, hepatopulmona
230 the protective effect of propranolol against variceal hemorrhage, noted previously, was no longer pre
231 gh-risk esophageal varices and no history of variceal hemorrhage, propranolol-treated patients had si
232 on, muscle wasting, ascites, esophagogastric variceal hemorrhage, spontaneous bacterial peritonitis,
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 l varices without bleeding, prophylaxis with variceal ligation or beta-blockers was similar in terms
261 of varices, a randomized trial of endoscopic variceal ligation plus nadolol in preventing recurrent v
262 macologic therapy, development of endoscopic variceal ligation, and the maturing of liver transplanta
263 tion for primary prophylaxis with endoscopic variceal ligation, sclerotherapy, or nonspecific beta-bl
264 of several randomized trials of prophylactic variceal ligation, the effect on bleeding-related outcom
265 ce of variceal rebleeding (41.9% vs. 42.9%), variceal obliteration (41.9% vs. 40.0%), hospital days,
270 counts (P = .0002) were at greatest risk of variceal progression (area under the receiver operating
273 reatment groups were similar in incidence of variceal rebleeding (41.9% vs. 42.9%), variceal oblitera
276 nts, 173 had the procedure for prevention of variceal rebleeding and 58 for treatment of refractory a
277 and cost-effectiveness for the prevention of variceal rebleeding and patient survival at 1-year follo
278 treatment (ET) is frequently used to prevent variceal rebleeding but this still occurs in about 50% o
280 varices, rebleeding from varices, number of variceal rebleeding events, total days of hospitalizatio
281 vered TIPS was straightforward and prevented variceal rebleeding in patients with Child A or B cirrho
282 During follow-up (mean 27 +/- 29 months), variceal rebleeding occurred in 7/25 (28%), including th
283 oing elective TIPS, either for prevention of variceal rebleeding or for treatment of refractory ascit
284 owing elective TIPS for either prevention of variceal rebleeding or for treatment of refractory ascit
286 ockers (EVL+BB) is currently recommended for variceal rebleeding prophylaxis, a recommendation that e
287 are is relevant, and in published studies on variceal rebleeding prophylaxis, there is a lack of info
290 f antibiotic prophylaxis in preventing early variceal rebleeding, and a trial of synbiotic therapy in
292 ligation is the standard approach to prevent variceal rebleeding, but bleeding recurs and mortality i
299 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
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