Varices esofagica

Question 1

En que consiste esta enfermedad?

Answer 1

Dilated submucosal left gastric veins

Question 2

Esta patología suele ser el resultado de:

Answer 2

Complication of portal hypertension (PH) from cirrhosis

• Alcohol abuse is the most common cause.

Question 3

Hallazgos Clínicos:

Answer 3

a. Rupture with massive hematemesis (vomiting blood)

b. Most common cause of death in cirrhosis

Question 4

El dx se suele hacer a través de:

Answer 4

Endoscopy

Question 5

El tratamiento inicial para esta es:

Answer 5

a. Endoscopy
(1) Most important diagnostic procedure
(2) Value in treatment of the bleed as well
b. Assess/maintain intravascular volume
c. Insert nasogastric tube for gastric aspirate/lavage.
(1) Confirms upper gastrointestinal source of bleeding
(2) Assesses rate of bleeding

Question 6

Como se tratan y previenen las hemorragias de esta condición?

Answer 6

a. β-Blockers and isosorbide
(1) Decrease rate of recurrent bleeding
(2) Increase survival by 5% to 10%
b. Transjugular intrahepatic portasystemic stent (TIPS)
• Used for treatment of both bleeding and intractable ascites
c. Octreotide intravenous drip (somatostatin analog) for bleeding
d. Endoscopic ligation, endoscopic sclerotherapy, open surgery with stapling