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.
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
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.
Ranking of treatment for verices. Beta-blockers are extensively used to prevent variceal bleeding in patients with large esophageal varices," write Carlo Merkel, MD, from the University of Padua in Italy, and colleagues from the Gruppo Triveneto Per L'ipertensione Portale. "The clinical usefulness of beta-blockers in preventing the growth of small varices to large ones is still uncertain."
Sengstaken-Blakemore tube - keep scissors by the bedside. Helps to stop bleeding from lower part of esophagus r/t esophageal varieces