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The management of active variceal bleeding

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References

  1. Mitchell KJ, Macdougall BRD, Silk DBA, Williams R (1982) A prospective reappraisal of emergency endoscopy in patients with portal hypertension Scan J Gastroenterol 17 (8):965

    Google Scholar 

  2. Conn HO (1982) A plethora of therapies. In: Westaby D, Macdougall BRD, Williams R (eds) Variceal bleeding. Pilman, London, p 221

    Google Scholar 

  3. Fogel MR, Knauer CM, Andres LL, Mahal AS, Stein DET, Kemeny MJ, Rinki MM, Walker JE, Sigmund D, Gregory PB (1982) Continuous vasopressin in active upper gastrointestinal bleeding. Annals Int Med 96:565

    Google Scholar 

  4. Groszmann RJ, Kravetz D, Bosch J, Glickman M, Bruix J, Bradfeldt J, Conn HO, Rodes J, Storer EH (1982) Nitroglycerin improves the haemodynamic response to vasopressin in portal hypertension. Hepatology 2:757

    Google Scholar 

  5. Mols P, Hallemans R, Van Kuyk M, Melot C, Lejeune P, Harn H, Vertougen F, Naeijer MD (1984) Haemodynamic effects of vasopressin, alone and in combination with nitroprusside, in patients with liver cirrhosis and portal hypertension. Ann Surg 199:176

    Google Scholar 

  6. Gimson AES, Westaby D, Hegarty J, Watson A, Williams B (1985) A randomised trial of vasopressin and vasopressin plus nitroglycerin in the control of acute variceal haemorrhage. J Hepatol [Suppl 2]:242

  7. Forsling ML, Leedy AA, Miller M, Davies R, Donovon B (1980) Conversion of triglycylvasopressin to lysine-vasopressin in man. J Endocrinol 85:237

    Google Scholar 

  8. Vosnik J, Jedlicka K, Mulder JL, Cort JH (1977) Action of the triglycyl homonogen of vasopressin (glypressin) in patients with liver cirrhosis and bleeding oesophageal varices. Gastroenterology 72:605

    Google Scholar 

  9. Freeman JG, Cobden F, Lishman AH, Record CO (1982) Controlled trial of terlipressin (‘glypressin’) versus vasopressin in the early treatment of oesophageal varices. Lancet: 66

  10. Silk DBA, Mitchell KJ, Macdougall BRD, Williams R (1979) Medical management of patients with portal hypertension bleeding from oesophageal varices. In: Williams R, Cantani L (eds) Recenti progressi in epatologi. Casa Editrice Milan p 5

  11. Rabl A, Juhl E, Schmidt A, Winkler K (1976) The effect of vasopressin and triglycyl lysine-vasopressin on splanchnic circulation in cirrhotic patients with portal hypertension. Digestion 14:285

    Google Scholar 

  12. Douglas JC, Forrest JAH, Prowse CV, Cash JD, Finlayson NDC (1979) Effects of lysine-vasopressin and glypressin on the fibrinolytic system in cirrhosis. Gut 20:565

    Google Scholar 

  13. Bosch J, Kravetz D, Rodes J (1981) Effects of somatostatin on hepatic and systemic haemodynamics in patients with cirrhosis of the liver. Comparison with vasopressin. Gastroenterology 80:518

    Google Scholar 

  14. Kravetz D, Bosch J, Terest J, Bruix J, Rimola A, Rodes J (1984) A controlled comparison of continuous somatostatin and vasopressin infusions in the treatment of acute variceal haemorrhage. Hepatology 4:442

    Google Scholar 

  15. Jenkins SA, Baxter JN, Corbett W, Devitt P, Ware J, Shields R (1985) A prospective randomised controlled clinical trial comparing somatostatin and vasopressin in controlling acute variceal haemorrhage. Br Med J 290:275

    Google Scholar 

  16. Teres J, Cecilia A, Bordas JM, Rimola A, Bru C, Rodes J (1978) Esophageal tamponade for bleeding varices. Controlled trial between the Sengstaken-Blakemore tube and the Linton-Nachlas tube. Gastroenterology 75:566

    Google Scholar 

  17. Sarin SK, Nundy S (1984) Balloon tamponade in the management of bleeding oesophageal varices. Ann R Coll Surg Engl 66:30

    Google Scholar 

  18. Lunderquist A, Vang J (1974) Transhepatic catheterisation and obliteration of the coronary vein in patients with portal hypertension and oesophageal varices. N Engl J Med 291:646

    Google Scholar 

  19. Hervieu C, Levade M, Pascal J-P (1982) Embolisation par voie transcutanee des varices oesophagiennec. Gastroenterol Clin Biol 6:692

    Google Scholar 

  20. Smith-Laing G, Scott J, Long R, Dick R, Sherlock S (1981) Role of percutaneous transhepatic obliteration of varices in the management of haemorrhage from gastro-oesophageal varices. Gastroenterology 80:1031

    Google Scholar 

  21. Johnston GW, Rodgers HW (1973) A review of 15 years experience in the use of sclerotherapy in the control of acute haemorrhage from oesophageal varices. Br J Surg 60:797

    Google Scholar 

  22. Terblanche J, Yakoob HI, Bornman PC, Stiegmann GV, Bawe R, Jonker M, Wright J, Kirsch R (1981) Acute bleeding varices. A 5 year prospective evaluation of tamponade and sclerotherapy. Ann Surg 194:521

    Google Scholar 

  23. Novis BH, Duys P, Barbegat GO, Clain J, Bank S, Terblanche J (1976) Fibreoptic endoscopy and the use of the Sengstaken Tube in acute gastrointestinal haemorrhage in patients with portal hypertension and varices. Gut 17:258

    Google Scholar 

  24. Williams KGD, Dawson JL (1979) Fibreoptic injection of oesophageal varices. Br Med J: 766

  25. Kirkham JS, Quayle JB (1982) Oesophageal varices: Evaluations of injection sclerotherapy without general anaesthesia using the flexible fibreoptic gastroscope. Ann Roy Coll Surg Engl 64:401

    Google Scholar 

  26. Barsoum MS, Bohous FL, El Rooby AAS, Rizk-Allah MA, Ibrahim AS (1982) Tamponade and injection sclerotherapy in the management of bleeding oesophageal varices. Br J Surg 69:76

    Google Scholar 

  27. Paquet KJ, Feussner H (1985) Endoscopic sclerosis and oesophageal tamponade in acute haemorrhage from oesophagogastric varices. A prospective controlled randomized trial. Hepatology 5:580

    Google Scholar 

  28. Westaby D, Hayes PC, Gimson AES, Polson R, Williams R (1986) Injection sclerotherapy for active variceal bleeding: a controlled trial. Gut 27:A1246

    Google Scholar 

  29. Orloff MJ, Bell Rh, Hyde PV, Skivolock WP (1980) Long-term results of emergency portacaval shunt for bleeding oesophageal varices in unselected patients with alcoholic cirrhosis. Ann Surg 192:325

    Google Scholar 

  30. Bell RB Jr, Miyai K, Orloff MJ (1984) Outcome in cirrhotic patients with acute alcoholic hepatitis after emergency portacaval shunt for bleeding oesophageal varices. Am J Surg 147:78

    Google Scholar 

  31. Vankemmel M (1974) Resection-anastomose de l'oesophage sus-cardiol rupture de varices oesophagiennes. Bilan d'une technique noubelle. Nouv Presse Med 5:1123

    Google Scholar 

  32. Spence RAJ, Johnston GW (1985) Results in 100 consecutive patients with stapled oesophageal transection for varices. Surg Gynecol Ostet 160:323

    Google Scholar 

  33. Suguira M, Futagowa S (1977) Further evaluation of the Suguira procedures in the treatment of oesophageal varices. Arch Surg 112:1317

    Google Scholar 

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Westaby, D. The management of active variceal bleeding. Intensive Care Med 14, 100–105 (1988). https://doi.org/10.1007/BF00257459

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