The Use of Vasoconstrictors in Acute Variceal Bleeding: How Long Is Enough?

Acute variceal bleeding Banding ligation Sclerotherapy Vasoconstrictors

Journal

Clinical endoscopy
ISSN: 2234-2400
Titre abrégé: Clin Endosc
Pays: Korea (South)
ID NLM: 101576886

Informations de publication

Date de publication:
Jan 2019
Historique:
received: 24 05 2018
accepted: 07 06 2018
pubmed: 23 1 2019
medline: 23 1 2019
entrez: 23 1 2019
Statut: ppublish

Résumé

Vasoconstrictors are often used as the first line therapy for acute esophageal variceal hemorrhage. They might also be used for a few days after endoscopic therapy to prevent early rebleeding. International guidelines recommend the use of vasoconstrictor therapy when acute esophageal variceal hemorrhage is suspected and continuation of the therapy until 3 to 5 days after endoscopic treatment. However, the duration of use of vasoconstrictors after endoscopic therapy is not clear. This review shows that if variceal bleeding is successfully controlled by endoscopic variceal ligation, the combination of vasoconstrictors can be reduced to less than 1 day.

Identifiants

pubmed: 30665290
pii: ce.2018.084
doi: 10.5946/ce.2018.084
pmc: PMC6370929
doi:

Types de publication

Journal Article

Langues

eng

Pagination

36-39

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Auteurs

Gin-Ho Lo (GH)

Division of Gastroenterology, Department of Medical Research, E-DA Hospital, Kaohsiung, Taiwan.

Classifications MeSH