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variceal bleeding

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variceal bleeding
Hemorrhage from dilated or variceal veins, usually understood to mean esophageal varices 2º to end-stage liver failure Management-surgical Surgical shunting, endoscopic sclerotherapy, esophageal variceal ligation, transjugular intrahepatic portosystemic stent-shunt–TIPS procedure Management-medical Vasopressin, nitroglycerin, somatostatin, β-blockers, long-acting nitrates. See Transjugular intrahepatic portosystemic stent-shunt–TIPS procedure.


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Some areas covered include eosinophilic esophagitis, variceal bleeding, non-alcoholic fatty liver disease, and targets for treatment in irritable bowel syndrome.
Cirrhosis often is an indolent disease; most patients remain asymptomatic until the occurrence of decompensation, characterized by ascites, spontaneous bacterial peritonitis, hepatic encephalopathy, or variceal bleeding from portal hypertension.
 
 
 
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