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Oesophageal Varices

Oesophageal Varices. Prof. Dr. Faisal Ghani Siddiqui faisalghani@lumhs.edu.pk. superficial veins from Oesophageal mucosa drain into left gastric vein which in turn drains into portal vein . Management of Bleeding Varices. Resuscitation. Diagnosis. Treatment. Resuscitation.

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Oesophageal Varices

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  1. Oesophageal Varices Prof. Dr. Faisal Ghani Siddiqui faisalghani@lumhs.edu.pk

  2. superficial veinsfrom Oesophageal mucosa drain into left gastric vein which in turn drains intoportal vein

  3. Management of Bleeding Varices • Resuscitation • Diagnosis • Treatment

  4. Resuscitation • Manage shock • Correct coagulopathy • Antibiotics

  5. Diagnosis • Clinical • Laboratory • Oesophagogastroscopy

  6. Elevated Bilirubin • Albumin < 3 g/dl • Anaemia

  7. Oesophagogastroscopy

  8. 1 2 4 3

  9. Medical • Vasopressin, Terlipressin • Somatostatin

  10. Mechanical Balloon tamponade • Sengstaken-Blakemore tube • Minnesota tube

  11. Interventional, nonsurgical • Endoscopic Banding • Endoscopic Sclerotherapy

  12. Surgical • Portocaval shunt • Esophageal transection • Liver transplantation

  13. … in summarywhen a person vomits blood!

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