8. Failure to Control Bleeding and Failure to Control Rebleeding

Questionnaire to the Expert Panel

  1. Roberto de Franchis MD, AGAF Professor of Gastroenterology Head
  1. Andrew K Burroughs MD1,
  2. Dominique Thabut MD2,
  3. Gennaro D'Amico MD3,
  4. Flemming Bendtsen MD4,
  5. Christophe Bureau MD5,
  6. Paul Calès MD6 and
  7. Angels Escorsell MD Consultant7

Published Online: 17 NOV 2010

DOI: 10.1002/9781444393989.ch8

Portal Hypertension V: Proceedings of the Fifth Baveno International Consensus Workshop, Fifth Edition

Portal Hypertension V: Proceedings of the Fifth Baveno International Consensus Workshop, Fifth Edition

How to Cite

Burroughs, A. K., Thabut, D., D'Amico, G., Bendtsen, F., Bureau, C., Calès, P. and Escorsell, A. (2011) Failure to Control Bleeding and Failure to Control Rebleeding, in Portal Hypertension V: Proceedings of the Fifth Baveno International Consensus Workshop, Fifth Edition (ed R. de Franchis), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444393989.ch8

Editor Information

  1. Department of Medical Sciences, University of Milan, and Gastroenterology 3 Unit, IRCCS Ca' Granda Ospedale Maggiore Policlinico Mangiagalli and Regina Elena Foundation, Milan, Italy

Author Information

  1. 1

    Royal Free Sheila Sherlock Liver Centre, Royal Free Hospital, and UCL, London, UK

  2. 2

    Department of Hepato-Gastroenterology, La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Pierre et Marie Curie University, Paris, France

  3. 3

    Gastroenterology Unit, Ospedale V Cervello, Palermo, Italy

  4. 4

    Department of Medical Gastroenterology, Hvidovre Hospital, and Faculty of Health Sciences, University of Copenhagen, Denmark

  5. 5

    Department of Hepato-Gastroenterology, Fédération Digestive Purpan, CHU Toulouse, Inserm U858, and Université Paul Sabatier, Toulouse, France

  6. 6

    Department of Hepato-Gastroenterology, University Hospital, Angers, France

  7. 7

    Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), University of Barcelona, Spain

Publication History

  1. Published Online: 17 NOV 2010
  2. Published Print: 14 JAN 2011

ISBN Information

Print ISBN: 9781444334494

Online ISBN: 9781444393989

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Keywords:

  • key events and their definition - failure, in controlling bleeding and rebleeding;
  • Baveno II and III meetings, key events of variceal bleeding – criteria, related to bleeding and haemodynamics;
  • blood haemoglobin level, main diagnostic criterion of variceal bleeding;
  • ABRI, a good predictor of death rate - following variceal bleeding;
  • control of bleeding, surrogate marker of mortality - close relationship to it;
  • ABRI, and another limit - sensitivity to differences in transfusion policy;
  • definitions of control of bleeding and its relationship - mortality needed, based on good evidence;
  • reliable and standardized clinical endpoints for RCTs - and meta-analyses, important issues;
  • New criteria for failure in controlling bleeding - and failure to prevent rebleeding, in Baveno V conference;
  • assessing transfusion index (ABRI or other)

Summary

This chapter contains sections titled:

  • Introduction

  • The retrospective validation of Baveno IV criteria

  • Conclusion

  • References

  • Failure to control bleeding

  • Failure to prevent rebleeding

  • Baveno IV definitions and criteria for failure to control bleeding

  • Baveno IV definitions and criteria for failure of secondary prophylaxis

  • Baveno V definitions and criteria for failure to control bleeding

  • Baveno V definitions and criteria for failure of secondary prophylaxis

  • Areas requiring further study (5;D)