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- W2765831709 abstract "Endoscopy plays an important part in the management of the patient with liver disease. In addition to its role in the treatment of variceal hemorrhage, endoscopy aids in the diagnosis and management of many upper gastrointestinal (GI) pathologies. Barrett esophagus has the same prevalence in patients with cirrhosis as in the general population, although its management is challenging due to the increased bleeding risk. Celiac disease can present with abnormal liver function tests and is also associated with primary biliary cirrhosis and primary sclerosing cholangitis. Peptic ulcer disease and gastroesophageal reflux disease are commonly found in cirrhotic patients, and these patients are generally treated in similar ways to non-cirrhotic patients. Several upper GI tumors are associated with cirrhosis and management options are often limited by the underlying liver disease. Treatment options include endoscopic interventions, sometimes in conjunction with approaches that aim to reduce portal hypertension. Treatment of non-variceal upper GI bleeding in cirrhotic patients generally involves endoscopic therapy in the form of adrenaline injection, contact thermal coagulation, and clips, in addition to proton pump inhibitor therapy. The novel endoscopic hemostatic powder sprays appear promising and may be useful in select situations of non-variceal GI bleeding, although further data are required." @default.
- W2765831709 created "2017-11-10" @default.
- W2765831709 creator A5013049804 @default.
- W2765831709 creator A5066899261 @default.
- W2765831709 date "2017-10-20" @default.
- W2765831709 modified "2023-10-14" @default.
- W2765831709 title "Endoscopic Management of Upper Gastrointestinal Pathology in the Patient with Liver Disease" @default.
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- W2765831709 doi "https://doi.org/10.1002/9781118660799.ch10" @default.
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