Variceal Haemorrhage Flashcards
1
Q
What are varices
A
A dilated tortuous vessel
2
Q
What are they caused by
A
PHTN
3
Q
Where are varices most commonly found
A
At porto-systemic anastomoses:
- Skin (caput medusa)
- Oesophageal and gastric
- Rectal
- Posterior abdo wall
- Stomal
4
Q
Management
A
Resus
IV access
Blood transfusion
Emergency endoscope and band ligation
5
Q
Drug given for control
A
Terlipressin
6
Q
What is used for uncontrolled bleeding
A
Sengstaken-Blakemore tube
7
Q
What is used for rebreeding after banding
A
Transjugular intrahepatic portosystemic shunt