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- Vomiting or coughing up blood
- Red, tarry, or very dark stools
- Low blood pressure
- Rapid heartbeat
- Blood tests
- Endoscopy to view your esophagus
- Ultrasound to take images of internal body structures
Endoscopic Band Ligation
Transjugular Intrahepatic Portosystemic Shunting (TIPS)
Distal Splenorenal Shunt (DSRS)
- Seek immediate treatment for long-term alcohol abuse.
- Tell your doctor if you are at risk for chronic liver disease, blood clots, or are on medications that may damage the liver.
American College of Gastroenterology http://www.gi.org
American Gastroenterological Association http://www.gastro.org
The Canadian Association of Gastroenterology http://www.cag-acg.org
Canadian Liver Foundation http://www.liver.ca
Berry PA, Wendon JA. The management of severe alcoholic liver disease and variceal bleeding in the intensive care unit. Curr Opin Crit Care . 2006;12:171-7.
Bhasin DK, Siyad I. Variceal bleeding and portal hypertension: new lights on old horizon. Endoscopy . 2004;36(2):120-129.
D’Amico G. The role of vasoactive drugs in the treatment of oesophageal varices. Expert Opinion Pharmacotherapy . 2004;5(2):349-360.
Garcia-Tsao G, Sanyal AJ. Prevention and management of gastroesophageal varicies and variceal hemorrhage in cirrhosis. Am J Gastroenterol. 2007;102(9):2086-2102.
Gastroesophageal varices. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated May 13, 2013. Accessed July 10, 2013.
Kamath PS. Esophageal variceal bleeding: primary prophylaxis. Clin Gastroenterol Hepatol. 2005;3(1):90-93.
Lubel JS, Angus PW. Modern management of portal hypertension. Intern Med J . 2005;35(1):45-9.
Villanueva C, Piqueras M, Aracil C, et al. A randomized controlled trial comparing ligation and sclerotherapy as emergency endoscopic treatment added to somatostatin in acute variceal bleeding. J Hepatol.2006;45:560-7
- Reviewer: Daus Mahnke, MD; Brian Randall, MD
- Review Date: 07/2013 -
- Update Date: 00/71/2013 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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