ESOPHAGEAL VARICES REBLEEDING PROPHYLAXIS TREATMENT: WHO IS THE CHAMPION?

C. R. A. Lesmana
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Abstract

Portal hypertension (PH) is still a big challenge in clinical practice, where the presence of esophageal varices (EV) is the most common complication found in liver cirrhosis (LC) patients. The progression of PH condition in LC patients would lead to decompensated stage with more complications, such as variceal bleeding, the presence of ascites, hepatic encephalopathy, and hepatorenal syndrome.[1,2] Bleeding of EV (BEV) is a critical clinical which carry high mortality. Therefore, not only early detection and how the PH condition can be diagnosed well, but also how we can manage to prevent its complication, especially for primary as well as secondary BEV prophylaxis.[3]
食管静脉曲张再出血预防治疗:谁是冠军?
门静脉高压症(PH)仍然是临床实践中的一大挑战,食管静脉曲张(EV)是肝硬化(LC)患者最常见的并发症。肝硬化患者的食管静脉曲张病情发展到失代偿期,会出现更多并发症,如静脉曲张出血、腹水、肝性脑病和肝肾综合征等。因此,不仅要及早发现和诊断 PH 病症,还要设法预防其并发症,尤其是对原发性和继发性 BEV 的预防[3]。
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