Primary prevention of bleeding from esophageal varices.
Primary prevention of bleeding from esophageal varices.
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DOI：
10.1056/nejm199904013401309
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发表时间：
1999-04
期刊：
影响因子：
--
通讯作者：
A. Burroughs;D. Patch
中科院分区：
文献类型：
--
作者：
A. Burroughs;D. Patch
Most patients with portal hypertension in North America and Europe have cirrhosis. Of those with compensated cirrhosis (i.e., cirrhosis with no ascites, encephalopathy, or severe jaundice), 30 percent have esophageal varices, as compared with 60 percent of those with decompensated cirrhosis.1 The risk of a first episode of bleeding from esophageal varices is higher among patients with cirrhosis who have severe liver dysfunction and those whose varices are large or have red signs — so-called varices on varices — identified endoscopically.2 Patients with cirrhosis may also have bleeding due to portal hypertensive gastropathy, nonvariceal mucosal abnormalities seen on endoscopy. These . . .
