Chronic Esophageal Varices

In chronic esophageal varix therapy endoscopy is in some cases used with the goal to eradicate varices all together. This has been shown successful in about two-thirds of patients. These patients should, however, be followed closely and rescoped at 6 month to 1 year intervals to evaluate for the likelihood of rebleed. Recurrent bleeding occurs in about half of these patients with the highest rate in the first year and decreases by about 15% per year after that. One-third of these patients will fail secondary to rebleed. Endoscopic therapy should be abandoned with uncontrolled hemorrhage, multiple major episodes of recurrent rebleed of gastric varices and PHG.

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