VARICEAL BLEEDING: UPDATE OF RECOMMENDATIONS FROM THE BRAZILIAN ASSOCIATION OF HEPATOLOGY

• Main Authors: Paulo Lisboa BITTENCOURT, Edna STRAUSS, Alberto Queiroz FARIAS, Angelo Alves de MATTOS, Edmundo Pessoa LOPES
• Format: Article
• Language: English
• Published: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE) 2017-10-01
• Series: Arquivos de Gastroenterologia
• Subjects: Hemorragia gastrointestinal; Varizes esofágicas e gástricas; Cirrose hepática: Infecção
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032017005011104&lng=en&tlng=en

ABSTRACT Since the publication of the Brazilian Association of Hepatology recommendations for the prevention and treatment of variceal bleeding in 2010, new evidence-based data were reported in the literature. This has changed our current management for portal hypertension. This review updates the previous recommendations. It takes the new prognostic staging of cirrhosis into account allowing tailored treatment for advanced fibrosis, compensated or decompensated cirrhosis. An organizing panel of five experts reviewed all recommendations according to available data, which were subsequently scrutinized by all members of the Brazilian Association of Hepatology using a web-based approach. The accepted recommendations are presented in this manuscript.