Oesophageal varices with bleeding - what does this mean
Oesophageal varices with bleeding is a condition caused by swollen veins in the oesophagus, usually due to portal hypertension. when these veins become enlarged, they are more likely to rupture and bleed, causing pain, vomiting, and a decrease in blood pressure. treatment usually involves medications to reduce the pressure in the portal veins, as well as endoscopic procedures to stop the bleeding.
What happens during the disease - oesophageal varices with bleeding
Oesophageal varices with bleeding is caused by an increased pressure in the portal venous system, which leads to increased pressure in the oesophageal veins. this increased pressure causes the veins to expand and become fragile, leading to rupture and bleeding. in some cases, the increased pressure is caused by liver cirrhosis, portal hypertension, or other conditions that cause increased pressure in the portal venous system.
Treatment and Medical Assistance
Main goal of the treatment: To stop the bleeding from oesophageal varices and prevent future bleeding.
- Administer medications to reduce the pressure in the portal vein and decrease the risk of bleeding.
- Perform endoscopic variceal ligation to tie off the varices and stop the bleeding.
- Perform endoscopic sclerotherapy to inject a chemical solution into the varices to shrink them and stop the bleeding.
- Perform endoscopic injection of a coagulant to seal off the bleeding vessels.
- Perform endoscopic balloon tamponade to apply pressure to the bleeding vessels.
- Perform endoscopic band ligation to tie off the varices and stop the bleeding.
- Perform surgical procedures to stop the bleeding and prevent future bleeding.
- Administer blood transfusions to replace lost blood.
10 Days of Hospitalization Required
Average Time for Outpatient Care Not Established
Oesophageal varices with bleeding - Prevention
The prevention of oesophageal varices with bleeding can be achieved through lifestyle changes such as avoiding alcohol and smoking, maintaining a healthy diet, and taking medications such as beta-blockers and endoscopic treatments. regular monitoring is also necessary to detect any changes in the condition.