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General principles of the management of variceal hemorrhage

Arun J Sanyal, MD
Section Editor
Bruce A Runyon, MD
Deputy Editor
Kristen M Robson, MD, MBA, FACG


Active variceal hemorrhage accounts for approximately one-third of all deaths related to cirrhosis. There are four major issues related to the prevention and treatment of variceal hemorrhage:

Prediction of patients at risk (see "Prediction of variceal hemorrhage in patients with cirrhosis")

Prophylaxis against a first bleed (see "Primary and pre-primary prophylaxis against variceal hemorrhage in patients with cirrhosis")

Treatment of an active bleed (see "Methods to achieve hemostasis in patients with acute variceal hemorrhage")

Prevention of rebleeding (see "Prevention of recurrent variceal hemorrhage in patients with cirrhosis")

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Literature review current through: Nov 2017. | This topic last updated: Feb 21, 2017.
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