Clin Endosc.  2019 Jan;52(1):36-39. 10.5946/ce.2018.084.

The Use of Vasoconstrictors in Acute Variceal Bleeding: How Long Is Enough?

Affiliations
  • 1Division of Gastroenterology, Department of Medical Research, E-DA Hospital, Kaohsiung, Taiwan. ghlo@kimo.com

Abstract

Vasoconstrictors are often used as the first line therapy for acute esophageal variceal hemorrhage. They might also be used for a few days after endoscopic therapy to prevent early rebleeding. International guidelines recommend the use of vasoconstrictor therapy when acute esophageal variceal hemorrhage is suspected and continuation of the therapy until 3 to 5 days after endoscopic treatment. However, the duration of use of vasoconstrictors after endoscopic therapy is not clear. This review shows that if variceal bleeding is successfully controlled by endoscopic variceal ligation, the combination of vasoconstrictors can be reduced to less than 1 day.

Keyword

Acute variceal bleeding; Sclerotherapy; Vasoconstrictors; Banding ligation

MeSH Terms

Esophageal and Gastric Varices*
Hemorrhage
Ligation
Sclerotherapy
Vasoconstrictor Agents*
Vasoconstrictor Agents
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