Сучасна стратегія лікування хворих на цироз печінки, ускладнений кровотечею із варикозно-розширених вен стравоходу і шлунка

Abstract

Over recent years the introduction of new pharmaceutical agents that reduce portal pressure, endoscopic variceal ligation, transjugu­lar intrahepatic portosystemic shunt have further increased the therapeutic options available to the physician treating this disorder. Pharmacologic therapy for portal hypertension is effective in the treatment and prevention of hemorrhage from esophagogastric varices. Acute hemorrhage from varices саn bе treated with intravenous agents either alone or in combination with endoscopic sclerotherapy or band ligation. The prevention of rebleeding after initial hemorrhage is best accomplished with non-selective beta blockers, endoscopic band ligation of varices.