医学
肝硬化
胃肠道出血
门脉高压
疾病
内科学
肝病
上消化道出血
胃肠病学
重症监护医学
静脉曲张
内窥镜检查
作者
Michael J.A. Williams,Peter Hayes
标识
DOI:10.1586/17474124.2016.1122523
摘要
Gastrointestinal bleeding remains a major cause of mortality in patients with cirrhosis. The most common source of bleeding is from gastroesophageal varices but non-variceal bleeding from peptic ulcer disease also carries a significant risk in patients with liver disease. The prognosis is related to the severity of the underlying liver disease, and deaths often occur due to liver failure, infection or renal failure. Optimal management should therefore not only achieve haemostasis but address these complications as well. The management of gastrointestinal bleeding in patients with cirrhosis includes a range of medical, endoscopic and radiological interventions. This article updates the recent developments in this area and highlights topics where further research is still required.
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