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

Author:

BITTENCOURT Paulo Lisboa1,STRAUSS Edna2,FARIAS Alberto Queiroz3,MATTOS Angelo Alves de4,LOPES Edmundo Pessoa5

Affiliation:

1. Hospital Português, Brazil

2. Hospital do Coração de São Paulo, Brasil

3. Universidade de São Paulo, Brazil

4. Universidade Federal de Ciências da Saúde de Porto Alegre, Brazil

5. Universidade Federal de Pernambuco, Brazil

Abstract

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.

Publisher

FapUNIFESP (SciELO)

Subject

Gastroenterology

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