医学
肝硬化
静脉曲张
流血
重症监护医学
食管静脉曲张
普通外科
胃静脉曲张
叙述性评论
叙述的
门脉高压
内科学
外科
语言学
哲学
作者
Ian M. Gralnek,Juan Carlos Garcı́a-Pagán,Jaume Bosch
标识
DOI:10.1016/j.amjmed.2023.12.001
摘要
Over the past decade, significant advancements in pharmacological, endoscopic, and radiographic treatments have emerged in the management of patients with cirrhosis and esophagogastric varices or variceal hemorrhage. These advances have been in several areas, including the role of screening and primary prophylaxis (preventing an initial variceal bleed), evaluation and management of acute esophagogastric variceal hemorrhage, and in preventing variceal rebleeding. Therefore, we believe there is a need for an updated, evidence-based "narrative review" on this important clinical topic that will be relevant for internists, hospitalists, intensive care unit physicians, and those in training. We believe the guidance presented in this narrative review will enhance daily medical practice of health care professionals and has the potential to improve quality of care for these complex patients.
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