Document Detail


Management of upper gastrointestinal bleeding in cirrhotic patients with documented esophageal varices evaluated at the Puerto Rico Medical Center.
MedLine Citation:
PMID:  21696096     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Esophageal variceal bleeding is a frequent complication in patients with chronic liver disease. There is no published study that evaluates the management of this complication in Puerto Rico. Our study describes the management of patients with esophageal varices admitted to the emergency room of the Puerto Rico Medical Center from January 2002 to December 2004. Seventy-four patients were included, 50% of which presented stigmata of recent bleeding from esophageal varices. In patients who presented stigmata of recent esophageal variceal bleeding, larger varices were identified (65% vs. 27% p = 0.002). Significant bleeding and banding of esophageal varices was most common in patients with stigmata of recent bleed. Octreotide infusion and prophylactic antibiotics were received by the vast majority. The management of esophageal variceal bleeding in our institution is compliant with the American Association for the Study of Liver Diseases guidelines.
Authors:
Eduardo J González; José E Rivera-Acosta; José M Sánchez; Carlos Romero; Marytere Meléndez; Cynthia Pérez; Esther A Torres
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Boletín de la Asociación Médica de Puerto Rico     Volume:  103     ISSN:  0004-4849     ISO Abbreviation:  Bol Asoc Med P R     Publication Date:    2011 Jan-Mar
Date Detail:
Created Date:  2011-06-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505267     Medline TA:  Bol Asoc Med P R     Country:  Puerto Rico    
Other Details:
Languages:  eng     Pagination:  5-8     Citation Subset:  IM    
Affiliation:
Division of Gastroenterology, Department of Medicine, University of Puerto Rico School of Medicine, San Juan, PR. upreduardo@gmail.com
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