Variceal haemorrhage Flashcards
1
Q
ABC treatment of variceal haemorrhage
A
Resuscitated prior to endoscopy, blood transfusion may be required
2
Q
Agents given in variceal haemorrhage
A
Clotting correctors - FFP, vit K, platelet transfusions.
Vasoactive agents - terlipressin, ocretide
Prophylactic IV abx
3
Q
Endoscopic measures in variceal haemorrhage
A
Endoscopic variceal band ligation is superior to endoscopic sclerotherapy
4
Q
What is done if all measures fail in variceal bleeding
A
Transjugular intrahepatic portosystemic shunt (TIPSS)
5
Q
Prophylaxis of oesopheageal varices
A
Propranolol, EVL, PPI, TIPSS
