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Selected deceased donor liver transplantation in controlled Fournier’s gangrene: a case report

Noh BG, Lee N, Lee BC, Yoon M

Bacterial infection represents a turning point in the natural history of cirrhosis, causing the development of acute-on-chronic liver failure. It significantly affects the outcome of patients listed for liver transplantation....
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Acute-on-chronic liver failure as a major predictive factor for mortality in patients with variceal bleeding

Shin J, Yu JH, Jin YJ, Yim HJ, Jung YK, Yang JM, Song DS, Kim YS, Kim SG, Kim DJ, Suk KT, Yoon EL, Lee SS, Kim CW, Kim HY, Jang JY, Jeong SW, on Behalf of the Korean Acute-onChronic Liver Failure (KACLiF) Study Group

Background/Aims: This study examined the risk factors associated with mortality in cirrhotic patients hospitalized with variceal bleeding, and evaluated the effects of acute-on-chronic liver failure (ACLF) on the prognosis of...
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Seasonal Impacts on the Incidence of Esophageal Variceal Hemorrhage: A Nationwide Analysis across a Decade

Siddiqui M, Bilal M, Haq KF, Nabors C, Schorr-Lesnick B, Wolf DC

Background/Aims: Seasonal variation has previously been reported in relation to the incidence of non-variceal upper gastrointestinal bleeding; however, the impact of seasonal variation on variceal bleeding is not known. Methods: We...
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The Use of Vasoconstrictors in Acute Variceal Bleeding: How Long Is Enough?

Lo GH

Vasoconstrictors are often used as the first line therapy for acute esophageal variceal hemorrhage. They might also be used for a few days after endoscopic therapy to prevent early rebleeding....
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Balloon-Occluded Retrograde Transvenous Obliteration versus Transjugular Intrahepatic Portosystemic Shunt for the Management of Gastric Variceal Bleeding

Gimm G, Chang Y, Kim HC, Shin A, Cho EJ, Lee JH, Yu SJ, Yoon JH, Kim YJ

BACKGROUND/AIMS: Gastric varices (GVs) are a major cause of upper gastrointestinal bleeding in patients with liver cirrhosis. The current treatments of choice are balloon-occluded retrograde transvenous obliteration (BRTO) and the...
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Plug-Assisted Retrograde Transvenous Obliteration for the Treatment of Gastric Variceal Hemorrhage

Chang MY, Kim MD, Kim T, Shin W, Shin M, Kim GM, Won JY, Park SI, Lee DY

OBJECTIVE: To evaluate the feasibility, safety, and clinical outcomes of plug-assisted retrograde transvenous obliteration (PARTO) to treat gastric variceal hemorrhage in patients with portal hypertension. MATERIALS AND METHODS: From May 2012...
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A Case of Portal Vein and Splenic Vein Occlusion after Endoscopic Variceal Occlusion Therapy in Gastric Variceal Bleeding

Kang EJ, Park SY, Lee YR, Kim CY, Ahn SY, Park JG, Lee HS, Tak WY, Kweon YO

Acute gastric variceal bleeding is one of the most serious complications in portal hypertension, and is associated with high mortality and morbidity. Endoscopic variceal obturation (EVO) using Histoacryl(R) (n-butyl-2-cyanoacrylate) has...
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Recurrent and Troublesome Variceal Bleeding from Parastomal Caput Medusae

Strauss C, Sivakkolunthu M, Ayantunde

Variceal bleeding is common in chronic liver disease and is a frequent cause of acute upper gastrointestinal bleeding. The most common site of varices is the lower oesophagus but they...
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Management of Acute Variceal Bleeding

Kim YD

Acute variceal bleeding could be a fatal complication in patients with liver cirrhosis. In patients with decompensated liver cirrhosis accompanied by ascites or hepatic encephalopathy, acute variceal bleeding is associated...
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Antiphospholipid Syndrome Presenting Variceal Bleeding in Patient with Systemic Anaerobic Bacterial Infection

Kang HJ, Jung HK, Kim MY, Ryu MS, Ahn SY, Cho HW, Kang IS, Kim SE

Antiphospholipid antibody syndrome (APS) is characterized by raised levels of antiphospholipid antibodies (aPL), in association with thrombosis, recurrent fetal loss, and thrombocytopenia. Development of APS is related with idiopathic origin,...
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Clinical features and outcomes of gastric variceal bleeding: retrospective Korean multicenter data

Kim MY, Um SH, Baik SK, Seo YS, Park SY, Lee JI, Lee JW, Cheon GJ, Sohn JH, Kim TY, Lim YS, Kim TH, Lee TH, Park SJ, Park SH, Kim JD, Han SY, Choi CS, Cho EY, Kim DJ, Hwang JS, Jang BK, Lee JS, Kim SG, Kim YS, Kwon SY, Choe WH, Lee CH, Kim BS, Jang JY, Jeong SW, Kim BH, Shim JJ, Cho YK, Koh MS, Lee HW

BACKGROUND/AIMS: While gastric variceal bleeding (GVB) is not as prevalent as esophageal variceal bleeding, it is reportedly more serious, with high failure rates of the initial hemostasis (>30%), and has...
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Two Cases of Adrenal Abscesses Following Histoacryl(R) (N-butyl-2-cyanocrylate) Injection

Lee BY, Jang JY, Jeong SW, Bok GH, Ham JH, Cho JY, Lee JS, Shim CS

  • KMID: 2135101
  • Gut Liver.
  • 2011 Jun;5(2):242-244.
We report two cases of adrenal abscesses that occurred following a Histoacryl(R) (N-butyl-2-cyanocrylate) injection for variceal bleeding. Patients had been diagnosed with alcoholic liver cirrhosis and gastric varices bleeding and...
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Esophageal Sinus Formation due to Cyanoacrylate Injection for Esophageal Variceal Ligation-induced Ulcer Bleeding in a Cirrhotic Patient

Kim EK, Sohn JH, Kim TY, Kim BK, Yu YH, Eun CS, Jeon YC, Han DS

Intravariceal injection of N-butyl-2-cyanoacrylate is widely used for the hemostasis of bleeding gastric varices, but not routinely for esophageal variceal hemorrhage because of various complications such as pyrexia, bacteremia, deep...
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Management of impending or ruptured esophageal varices during anesthesia for liver transplantation: A report of 3 cases

Choi JW, Gwak MS, Kim H, Kim JK, Kim GS

Portal hypertension may develop as a result of hepatic cirrhosis. One of the serious complications of portal hypertension is variceal hemorrhage. In recipients with esophageal varices, despite refinements in surgical...
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Usefulness of delta MELD/month for Prediction of the Mortality in the First Episode of Variceal Bleeding Patients with Liver Cirrhosis: Comparison with CTP, MELD score and delta CTP/month

Bae WK, Lee JS, Kim NH, Kim KA, Moon YS, Oh MK

  • KMID: 760705
  • Korean J Hepatol.
  • 2007 Mar;13(1):51-60.
BACKGROUND/AIMS: There are many models for predicting prognosis of liver cirrhosis including Child Turcotte Pugh (CTP), the model for end-stage liver disease (MELD) score and its changes over time...
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Antibiotic Prophylaxis Using Third Generation Cephalosporins Can Reduce the Risk of Early Rebleeding in the First Acute Gastroesophageal Variceal Hemorrhage: A Prospective Randomized Study

Jun CH, Park CH, Lee WS, Joo YE, Kim HS, Choi SK, Rew JS, Kim SJ, Kim YD

Bacterial infection may be a critical trigger for variceal bleeding. Antibiotic prophylaxis can prevent rebleeding in patients with acute gastroesophageal variceal bleeding (GEVB). The aim of the study was to...
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Prevention of Variceal Bleeding and Measurement of Hepatic Vein Pressure Gradient

Youn KH, Kim DJ

  • KMID: 760681
  • Korean J Hepatol.
  • 2006 Sep;12(3):464-468.
No abstract available.
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A Prospective Study Comparing the Efficacy of Early Administration of Terlipressin and Somatostatin for the Control of Acute Variceal Bleeding in Patients with Cirrhosis

Seo YS, Um SH, Hyun JJ, Kim YH, Park S, Keum BR, Kim YS, Jeen YT, Lee HS, Chun HJ, Lee SW, Choi JH, Kim CD, Ryu HS

  • KMID: 760669
  • Korean J Hepatol.
  • 2006 Sep;12(3):373-384.
BACKGROUND/AIMS: Terlipressin and somatostatin decrease portal venous pressure and they are used for the treatment of variceal bleeding. However, only a few studies have compared the efficacy of these...
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A Case of Esophageal Obstruction after Cyanoacrylate Injection Sclerotherapy

Jeon WJ, Seo JC, Lim SW, Lee KM, Chae HB, Park SM, Bae IH, Kim SJ, Youn SJ

  • KMID: 1569962
  • Korean J Gastrointest Endosc.
  • 2005 Oct;31(4):243-247.
Cyanoacrylate is well recognized for its effect in the treatment of the gastric variceal bleeding rather than the esopahgeal variceal bleeding. We used endoscopic injection sclerotherapy (EIS) with cyanoacrylate for...
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Effect of Transjugular Intrahepatic Portosystemic Shunt for Variceal bleeding in Hepatocellular Carcinoma Patients with Portal Vein Thrombosis

Chung WJ, Jang BK, Park KS, Cho KB, Hwang JS, Ahn SH, Kim YH, Kim YH, Kim YJ

  • KMID: 760593
  • Korean J Hepatol.
  • 2005 Jun;11(2):157-163.
BACKGROUND/AIMS: Transjugular Intrahepatic Portosystemic Shunt (TIPS) is commonly used in patients with variceal bleeding. However, this procedure is contraindicated in hepatocellular carcinoma patients with portal vein thrombosis. This study...
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