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Prevention of Recurrent Bleeding: Nonshunt Surgery

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Portal Hypertension

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Abstract

The management of patients with bleeding esophageal and gastric varices remains a challenging area. The standard management of clinical and laboratory assessment is well established and various indicators of prognosis are now being established [1], Child’s classification and Pugh’s modification have been well accepted [2,3] and more recently further attempts to predict outcome of bleeding have been published from Glasgow [4] and the Middle East [5]. In the Glasgow study prothrombin ratio, serum creatinine, and the presence of encephalopathy were shown to have independent prognostic significance, whereas in the Middle East study the prothrombin ratio was shown to be the most important indicator.

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  1. Belfast City Hospital, Lisburn Road, Belfast, BT9 7AB, Northern Ireland

    Roy A. J. Spence

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  1. Department of Medicine, Chiba University Hospital, Inohana 1-8-1, Chiba, 280, Japan

    Kunio Okuda M.D., Ph.D. (Professor) (Professor)

  2. Department of Hepatology, Hopital Beaujon, 92118, Clichy, France

    Jean-Pierre Benhamou M.D. (Professor) (Professor)

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© 1991 Springer Japan

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Spence, R.A.J. (1991). Prevention of Recurrent Bleeding: Nonshunt Surgery. In: Okuda, K., Benhamou, JP. (eds) Portal Hypertension. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68361-2_42

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  • DOI: https://doi.org/10.1007/978-4-431-68361-2_42

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