Main description:

Variceal Hemorrhage provides an update of the evidence concerning several aspects of variceal hemorrhage. The book features new information on natural history, diagnosis of esophageal varices, assessment of the risk of bleeding and identification of high risk groups and patients who may benefit or be harmed from different treatments. The volume also presents a critical analysis of the different steps in the management of acute variceal bleeding.

Authored by the most prominent world experts in their areas of expertise, Variceal Hemorrhage serves as a very useful reference for gastroenterologists, GI surgeons, residents in internal medicine and physicians dealing with and interested in the different aspects of this severe medical emergency.

Contents:

Part I: Pathophysiology, Natural History, Stages, and Diagnosis

1: Pathophysiology of Portal Hypertension
Yasuko Iwakiri and Roberto J. Groszmann

2: Natural History and Stages of Cirrhosis
Gennaro D'Amico

3: Diagnosis of Esophageal Varices
Massimo Primignani

Part II: Preventing the First Variceal Hemorrhage

4: Assessing the Risk of Bleeding
Roberto de Franchis

5: Prevention of the Formation and Growth of Esophageal Varices
Carlo Merkel and Sara Montagnese

6: Beta-Blockers for All...or Not
Laure Elkrief and Didier Lebrec

7: Pre-Primary and Primary Prophylaxis of Variceal Hemorrhage
Tilman Sauerbruch and Jonel Trebicka

8: HVPG-Guided Prophylaxis
Alessandra Dell'Era and Francesca Iannuzzi

Part III: Treatment of Acute Variceal Hemorrhage

9: Transfusion Policy
Candid Villanueva, Oana Pavel, and Alba Ardevol Ribalta

10: Antibiotic Prophylaxis in Acute Variceal Hemorrhage
Javier Fernandez

11: Use of Vasoactive Drugs for Acute Variceal Bleeding
Stefania Casu, Annalisa Berzigotti, and Jaime Bosch

12: Endoscopic Treatment of Acute Variceal Bleeding
Christos Triantos, Maria Kalafateli, and Andrew Kenneth Burroughs

13: TIPS: Primary Therapy or Rescue in Treatment of Acute Variceal Hemorrhage
Virginia Hernandez-Gea, Fanny Turon, and Juan Carlos Garcia-Pagan

14: How to Manage Gastric and Ectopic Varices
Ashok Chaudhary and Shiv Kumar Sarin

15: Should We Be Concerned About Coagulation in the Treatment of Acute Variceal Hemorrhage?
Armando Tripodi

Part IV: Prevention of Rebleeding

16: Variceal Rebleeding: Drugs, Endoscopy, or Both
Flemming Bendtsen, Soren Moller, and Aleksander Krag

17: Role of TIPS and Surgery in Prevention of Rebleeding
Christophe Bureau and Jean-Pierre Vinel

Part V: Special Situations

18: Variceal Bleeding in Patients with Vascular Liver Disease
Dominique-Charles Valla