Summary
Up to 80% of patients with liver cirrhosis develop esophageal variceal bleeding which is letal in up to 30% after the first bleeding episode. Parameters suitable to identify patients beeing on risk to bleed from their varices are severe liver disease (Child’s C), large varices with red color sign and red wall markings and high intravariceal pressure above 12 mmHg.
Zusammenfassung
Bis zu 80% der Patienten, mit Leberzirrhose entwickeln eine Ösophagusvarizenblutung, welche auch heute noch in bis zu 30% letal endet. Parameter, die Patienten mit hohem Blutungsrisiko identifizieren, sind schwerwiegende Lebererkrankungen mit reduziertem Allgemeinzustand und Ascites (Child C), große Ösophagusvarizen, die ein „red color sign“sowie flächenhafte Rötungen aufweisen, sowie ein hoher Ösophagusvarizendruck, der 12 mmHg übersteigt.
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© 1990 Springer-Verlag Berlin Heidelberg
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Staritz, M. (1990). Epidemiologie und Voraussagbarkeit der Varizenblutung. In: Ungeheuer, E. (eds) Deutsche Gesellschaft für Chirurgie. Langenbecks Archiv für Chirurgie Gegründet 1860 Kongreßorgan der Deutschen Gesellschaft für Chirurgie, vol 1990. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-48163-5_68
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DOI: https://doi.org/10.1007/978-3-642-48163-5_68
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