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  • Title: [Upper gastrointestinal bleeding in patients with portal hypertension--review of clinical cases from 2002-2008].
    Author: Kordiak J, Wcisło S, Santorek-Strumiłło E, Bartkowiak R, Brocki M, Misiak P.
    Journal: Pol Merkur Lekarski; 2009 May; 26(155):488-90. PubMed ID: 19606706.
    Abstract:
    UNLABELLED: Variceal bleed is the most dangerous complication of portal hypertension in patient with liver cirrhosis. Despite of many years of studies and observations there isn't unequivocal pattern of treatment which may prevent of first time and any further variceal bleeding. AIM OF THIS STUDY: To analyze procedure of treatment that we applied in patients treated in 2002-2008 in our clinic. MATERIAL AND METHODS: In our article we analyzed 43 cases of patients with variceal bleeding treated in our clinic in 2002-2008. In all patients it was first episode of variceal haemorrhage. All patients was addicted to alcohol and with advanced liver cirrhosis. In all cases we inserted Sengstaken-Blekmore tube and started pharmacological treatment. If the second haemorrhage was occurred we applied endoscopic procedure with endoscopic variceal ligation. RESULTS: In all patients treated in our clinic we noted two cases of rebleeding and one fatal cases which occurred during second episode of haemorrhage leading to hypovolemic crisis. CONCLUSIONS: Basing on medical reports that we have taken, we may put a conclusion that medical treatment that we have applied was correct and terminate the variceal bleeding.
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