scholarly journals Endoscopic treatment versus endoscopic plus pharmacologic treatment for acute variceal bleeding: A meta-analysis

Hepatology ◽  
2002 ◽  
Vol 35 (3) ◽  
pp. 609-615 ◽  
Author(s):  
Rafael Bañares ◽  
Agustín Albillos ◽  
Diego Rincón ◽  
Sonia Alonso ◽  
Mónica González ◽  
...  
2014 ◽  
pp. 147-161
Author(s):  
Christos Triantos ◽  
Maria Kalafateli ◽  
Andrew Kenneth Burroughs

2020 ◽  
Vol 73 ◽  
pp. S723-S724
Author(s):  
Juan Carlos Garcia Pagan ◽  
Oana Nicoara-Farcau ◽  
Debora Angrisani ◽  
Alberto Monescillo ◽  
Guohong Han ◽  
...  

2006 ◽  
Vol 20 (3) ◽  
pp. 165-170 ◽  
Author(s):  
Brian M Yan ◽  
Samuel S Lee

Variceal bleeding is a severe complication of cirrhosis leading to significant morbidity and mortality. Treatment of acute variceal bleeding has improved dramatically since the era of the mechanical balloon tamponade. These advances include endoscopic band ligation or sclerotherapy, and vasoactive pharmacological options such as somatostatin, octreotide, vasopressin and terlipressin. Evidence from a multitude of clinical trials and meta-analyses comparing endoscopic and pharmacological treatments suggests near equivalence in efficacy for initial hemostasis, mortality and rate of rebleeding. This raises the question of whether on-call gastroenterologists should be performing emergency endoscopic treatment in the middle of the night or start pharmacological treatment and delay endoscopy until optimal patient and working conditions the next morning. The present review analyzes the available comparative data between endoscopic and pharmacological treatment options. Although the literature cannot yet definitively answer the question posed, the authors suggest that delaying endoscopic treatment until the next morning may be the most reasonable practical approach.


2013 ◽  
Vol 108 ◽  
pp. S139
Author(s):  
Shadi Al Halabi ◽  
Besher Sadat ◽  
Tarek Sawas ◽  
Hadi Al Halabi ◽  
Michael Bracken ◽  
...  

2000 ◽  
Vol 51 (4) ◽  
pp. AB80
Author(s):  
Riccardo Marmo ◽  
Gianluca Rotondano ◽  
Maria Antonia Bianco ◽  
Roberto Piscopo ◽  
Livio Cipolletta

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