| Theme | Diagnoses & Treatments for Gastrointestinal Bleeding on the Basis of JGES Guidelines | |
|---|---|---|
| Title | Treatment for Variceal Bleeding | |
| Publish Date | 2017/03 | |
| Author | Ko Watanabe | Department of Endoscopy, Fukushima Medical University Hospital / Department of Gastroenterology, Fukushima Medical University School of Medicine |
| Author | Takuto Hikichi | Department of Endoscopy, Fukushima Medical University Hospital |
| Author | Katsutoshi Obara | Department of Advanced Gastroenterological Endoscopy, Fukushima Medical University, |
| Author | Tadayuki Takagi | Department of Gastroenterology, Fukushima Medical University School of Medicine |
| Author | Naoki Konno | Department of Endoscopy, Fukushima Medical University Hospital / Department of Gastroenterology, Fukushima Medical University School of Medicine |
| Author | Hiromasa Ohira | Department of Gastroenterology, Fukushima Medical University School of Medicine |
| [ Summary ] | Esophageal or gastric varices, which present a risk of bleeding, are often seen in patients with portal hypertension, which is mainly caused by liver cirrhosis. For patients with esophageal or gastric variceal bleeding, endoscopic treatment can be performed after stabilization of respiratory and circulatory conditions. For cases of esophageal variceal bleeding, endoscopic variceal ligation (EVL) has been applied at the bleeding point. After initial hemostasis, additional endoscopic injection sclerotherapy or EVL can be performed depending on liver function. For cases of solitary gastric variceal bleeding, endoscopic therapy using N‒butyl‒2‒cyanoacrylate has been performed. After initial hemostasis, additional endoscopic therapy or balloon‒occluded retrograde transvenous obliteration has been performed. |
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