9. Should Prognostic Variables be Used to Direct Patient Management in the Acute Setting?

  1. Roberto de Franchis MD, AGAF Professor of Gastroenterology Head
  1. Mario D'Amico MD and
  2. Juan Carlos García-Pagán MD, PhD Consultant

Published Online: 17 NOV 2010

DOI: 10.1002/9781444393989.ch9

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

D'Amico, M. and García-Pagán, J. C. (2011) Should Prognostic Variables be Used to Direct Patient Management in the Acute Setting?, 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.ch9

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. 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:

  • prognostic variables, used to direct patient management in acute setting;
  • current recommendations for treatment of acute variceal bleeding (AVB) - applied homogenously to all cirrhotic patients;
  • transjugular intrahepatic portosystemic shunt (TIPS);
  • prognostic factors - in acute variceal bleeding;
  • data on markers of prognosis in AVB - from heterogeneous studies;
  • mortality from variceal bleeding - decreasing in the last two decades;
  • Child-Pugh classification or its components, blood urea nitrogen(BUN) - to creatinine ratio, active bleeding at endoscopy, hypovolaemic shock;
  • strategies for patients - with high-risk treatment failure, and drug therapy;
  • current recommendations for treatment of acute variceal bleeding - for cirrhotic patients;
  • use of early PTFE-TIPS in patients - improving outcome of patients and treatment of choice

Summary

This chapter contains sections titled:

  • Introduction

  • Prognostic factors in acute variceal bleeding

  • Possible strategies for patients with high-risk treatment failure

  • Conclusions

  • References