Quick Tips: Esophageal Varices
Now learn how to treat bleeding esophageal varices!
Links to the referenced articles (in order depicted in infographic)
Banares R, et al. Hepatology 2002 -- meta-analysis showing that combined treatment (EVL + pharmacologic) is superior to EVL alone in acute variceal bleeding
Chavez-Tapia NC, et al. Aliment Pharmacol Ther 2011 -- meta-analysis showing that antibiotic prophylaxis in the setting of GI bleeding in cirrhosis reduces infections, re-bleeding, and mortality
Villanueva C, et al. NEJM 2013 - study of transfusion thresholds in UGIB, showing that a restrictive strategy may be beneficial in patients with cirrhosis
Londong W, et al. Gastroenterology 1989 - pharmacokinetic study demonstrating the effects of octreotide on gastric acid
Garcia-Tsao G, et al. Hepatology 2016 - AASLD guidelines on the management of portal hypertensive bleeding
de Franchis R, et al. J Hepatol 2015 - report from the Baveno VI group on the management of portal hypertensive bleeding
Thiele M, et al. Aliment Pharmacol Ther 2012 - the addition of NSBB to EVL reduces re-bleeding after an acute esophageal variceal bleed