Quick Tips: Esophageal Varices

Ascites? Check.

SBP? Easy.

Now learn how to treat bleeding esophageal varices!

Links to the referenced articles (in order depicted in infographic)

Banares R, et al. Hepatology 2002 — meta-analysis showing that combined treatment (EVL + pharmacologic) is superior to EVL alone in acute variceal bleeding

Chavez-Tapia NC, et al. Aliment Pharmacol Ther 2011 — meta-analysis showing that antibiotic prophylaxis in the setting of GI bleeding in cirrhosis reduces infections, re-bleeding, and mortality

Villanueva C, et al. NEJM 2013 – study of transfusion thresholds in UGIB, showing that a restrictive strategy may be beneficial in patients with cirrhosis

Londong W, et al. Gastroenterology 1989 – pharmacokinetic study demonstrating the effects of octreotide on gastric acid 

Garcia-Tsao G, et al. Hepatology 2016 – AASLD guidelines on the management of portal hypertensive bleeding

de Franchis R, et al. J Hepatol 2015 – report from the Baveno VI group on the management of portal hypertensive bleeding

Thiele M, et al. Aliment Pharmacol Ther 2012 – the addition of NSBB to EVL reduces re-bleeding after an acute esophageal variceal bleed

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