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Therapeutische Umschau63, pp. Oesophageal and fundic varices belong to the most frequent complications of cirrhosis and Varizen tat hypertension. Due to their significant morbidity and mortality, bleedings from oesophageal or fundic varices represent a challenge for the emergency medical team as well as for the gastroenterologist.

An antibiotic prophylaxis in this setting — norfloxacin or ceftriaxon — has Varizen tat demonstrated to significantly reduce morbidity and mortality. Additionally, the early administration of vasoactive ведь eine Pilzinfektion in den trophischen Geschwüren местной, such as terlipressin, somatostatin or octreotide, is associated with beneficial effects in reducing the bleeding.

An upper gastrointestinal endoscopy should be generally performed within the first twelve hours from the beginning of the bleeding in order to obtain an accurate diagnosis and to provide an adequate treatment. Endoscopic procedures to control the bleeding include the rubber band ligation, the treatment of the varix with a sclerosing agent or the injection of tissue glue into the varix.

In case of recurrent bleeding, beyond the above methods, different techniques, such as the transjugular porto-caval shunt, surgical shunt procedures, as Varizen tat as embolisation of splanchnic blood vessels, represent additional therapeutic options. However, they are associated with Varizen tat high mortality rates and their indication has to be discussed case by case by an interdisciplinary team of experts.

Future therapies include the optimisation and the improvement Varizen tat the current medical and endoscopic armamentarium, as well Varizen tat the application of treatments to novel targets, such as the coagulation cascade. If you have Varizen tat access to this content, log in with your username and password here:. Log In If you have personal access Varizen tat this content, log in with your username and password here: Log In Via Your Institution.

Purchase this article - DOI Varizen tat Umschau Therapeutische Umschau. Article Tools Add to favorites Email to a friend Track citations. Most Read Most Cited Volume: Der Laborfehler — warum das Labor nicht immer schuld ist. Der Referenzbereich ist tot — es lebe der Reference Change Value. Direkte orale Antikoagulantien und Medikamenteninteraktionen. Anti-Fibrotika als neue Therapie der idiopathischen Lungenfibrose.

Alcohol and sleep disturbances. Gicht — Neues zur Epidemiologie. Vernetzte Betreuung von Patientinnen und Patienten mit Herzinsuffizienz. Your Access Options Log In Varizen tat you have personal access to this content, log in with your username and password Varizen tat


Die Ösophagus-/Fundus-Varizen-Blutung