Bleeding Esophageal Varices . Hemorrhage from esophageal varices is a severe complication of cirrhosis with portal hypertension. After band ligation, the patient's condition stabilized, with no further bleeding.
Esophageal Varices – Causes, Symptoms, Diagnosis, Treatment and Ongoing care Increased pressure and turbulent flow within these vessels as well as their superficial location in the distal esophagus make them prone to rupture with significant morbidity and mortality. Read more: http://health.tipsdiscover.com/esophageal-varices-causes-symptoms-diagnosis-treatment-and-ongoing-care/#ixzz2a8BwxGFe
Therapeutic endoscopy for esophageal varicies is considered the mainstay of urgent treatment. Two main therapeutic approaches exist: Variceal ligation, or banding. Sclerotherapy. In cases of refractory bleeding, balloon tamponade with Sengstaken-Blakemore tube may be necessary
In cases of refractory bleeding, balloon tamponade with Sengstaken-Blakemore tube may be necessary, usually as a bridge to further endoscopy or treatment of the underlying cause of bleeding (usually portal hypertension). Methods of treating the portal hypertension include: transjugular intrahepatic portosystemic shunt (TIPS), or a distal splenorenal shunt procedure or a liver transplantation.
The left side of the illustration shows a patient with advanced cirrhosis and marked dilatation of surrounding veins. The inset shows an internal longitudinal view of the esophagus, with the presence of esophageal varices. The far right inset shows the esophageal view of the visible varices as seen from the operator of the endoscope.