Bleeding Esophageal Varices . Hemorrhage from esophageal varices is a severe complication of cirrhosis with portal hypertension. After band ligation, the patient's condition stabilized, with no further bleeding.
In cases of refractory bleeding, balloon tamponade with Sengstaken-Blakemore tube may be necessary, usually as a bridge to further endoscopy or treatment of the underlying cause of bleeding (usually portal hypertension). Methods of treating the portal hypertension include: transjugular intrahepatic portosystemic shunt (TIPS), or a distal splenorenal shunt procedure or a liver transplantation.
Esophageal Varices - Pathophysiology, Podcast, and Nursing Care Plan
Therapeutic endoscopy for esophageal varicies is considered the mainstay of urgent treatment. Two main therapeutic approaches exist: Variceal ligation, or banding. Sclerotherapy. In cases of refractory bleeding, balloon tamponade with Sengstaken-Blakemore tube may be necessary