scholarly journals Sustained rise of portal pressure after sclerotherapy, but not band ligation, in acute variceal bleeding in cirrhosis

Hepatology ◽  
2004 ◽  
Vol 39 (6) ◽  
pp. 1623-1630 ◽  
Author(s):  
Alec Avgerinos ◽  
Anastasios Armonis ◽  
Gerasimos Stefanidis ◽  
Nikoleta Mathou ◽  
Jiannis Vlachogiannakos ◽  
...  
Keyword(s):  
Variceal Bleeding ◽  
Portal Pressure ◽  
Band Ligation ◽  
Acute Variceal Bleeding

scholarly journals Minimal and Maximal Extent of Band Ligation for Acute Variceal Bleeding during the First Endoscopic Session

Gut and Liver ◽  
2021 ◽  
Author(s):  
Jang Han Jung ◽  
Jung Hyun Jo ◽  
Sung Eun Kim ◽  
Chang Seok Bang ◽  
Seung In Seo ◽  
...  
Keyword(s):  
Variceal Bleeding ◽  
Band Ligation ◽  
Acute Variceal Bleeding ◽  
Maximal Extent

scholarly journals Balloon tamponade sequentially combined with TIPS for refractory acute variceal bleeding: efficacy, safety and procedure techniques

2020 ◽  
Author(s):  
Chongtu Yang ◽  
Jiacheng Liu ◽  
Chen Zhou ◽  
Jingqiang Ma ◽  
Songlin Song ◽  
...  
Keyword(s):  
Variceal Bleeding ◽  
Portal Pressure ◽  
Recurrent Bleeding ◽  
Technical Success Rate ◽  
Balloon Tamponade ◽  
Acute Variceal Bleeding ◽  
Safe Strategy ◽  
Overt Hepatic Encephalopathy ◽  
Intrahepatic Portosystemic Shunt

Abstract Background This study aimed to evaluate the efficacy and safety of a therapeutic strategy, balloon tamponade (BT) sequentially combined with transjugular intrahepatic portosystemic shunt (TIPS), in cirrhotic patients with refractory acute variceal bleeding (AVB), and to introduce technique points of performing TIPS under BT. Methods Fifteen consecutive patients with refractory AVB who had been treated with balloon tamponade sequentially combined with TIPS between February 2017 and November 2019 were retrospectively analyzed. We evaluated the technical success rate, efficacy and procedure-related complications, and compared pre- and post-TIPS portal pressure gradient (PPG). Variceal rebleeding, overt hepatic encephalopathy (OHE), TIPS patency was assessed periodically and survival at 6 weeks and 1 year were recorded during follow-up. Results The procedure was successfully performed in all patients. Balloon was deflated during TIPS procedure in seven patients, after TIPS in three and before TIPS in five. Mean PPG decreased from 27.7 ± 4.3 mmHg to 10.7 ± 2.8 mmHg (P < 0.001). No TIPS- and balloon-related complications were observed. Two patients died during a median follow-up of 12 months (range 1–34 months). The 6-week and 1-year survival rate was 100% and 76% respectively. The incidence of OHE was 21% (3/14). The probability of remaining free of recurrent bleeding was 100%, and the probability of maintaining TIPS patency was 100%. Conclusions Balloon tamponade sequentially combined with TIPS should be considered an effective and safe strategy for patients with refractory AVB (especially bleeding from esophageal varices). This strategy could increase bleeding control rate and reduce the incidence of procedure-related complications and rebleeding.

Somatostatin Treatment and Risk Stratification by Continuous Portal Pressure Monitoring During Acute Variceal Bleeding

2001 ◽  
Vol 121 (1) ◽  
pp. 110-117 ◽  
Author(s):  
Càndid Villanueva ◽  
Jordi Ortiz ◽  
Josep Miñana ◽  
German Soriano ◽  
Miriam Sàbat ◽  
...  
Keyword(s):  
Risk Stratification ◽  
Variceal Bleeding ◽  
Portal Pressure ◽  
Pressure Monitoring ◽  
Acute Variceal Bleeding

Somatostatin is less effective decreasing portal pressure during acute variceal bleeding than in stable conditions

1998 ◽  
Vol 28 ◽  
pp. 74 ◽  
Author(s):  
E Moltinho ◽  
A Escorsell ◽  
JC Bandi ◽  
JC García-Pagán ◽  
B Castañeda ◽  
...  
Keyword(s):  
Variceal Bleeding ◽  
Portal Pressure ◽  
Acute Variceal Bleeding ◽  
Stable Conditions

Endoscopic Band Ligation and Esophageal Stents for Acute Variceal Bleeding

2014 ◽  
Vol 18 (4) ◽  
pp. 793-808 ◽  
Author(s):  
Andrés Cárdenas ◽  
Alejandro Fernández-Simon ◽  
Angels Escorcell
Keyword(s):  
Variceal Bleeding ◽  
Esophageal Stents ◽  
Band Ligation ◽  
Acute Variceal Bleeding ◽  
Endoscopic Band Ligation

Prognostic value of early measurements of portal pressure in acute variceal bleeding

1999 ◽  
Vol 117 (3) ◽  
pp. 626-631 ◽  
Author(s):  
Eduardo Moitinho ◽  
Àngels Escorsell ◽  
Juan–Carlos Bandi ◽  
Joan–Manuel Salmerón ◽  
Joan–Carles García–Pagán ◽  
...  
Keyword(s):  
Variceal Bleeding ◽  
Prognostic Value ◽  
Portal Pressure ◽  
Acute Variceal Bleeding
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