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REVIEW ARTICLE
Year : 2014  |  Volume : 27  |  Issue : 4  |  Page : 665-670

Stomach hemodynamics in liver cirrhosis


1 Department of Internal Medicine, Faculty of Medicine, Menoufya University, Menoufya, Egypt
2 Department of Internal Medicine, Elbagour Hospital, Elmenofya, Egypt

Correspondence Address:
Ahmed S Kabeel
Department of General medicine El-Bagour Hospital, Elmonofia
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-2098.149654

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Objective A review of changes in stomach hemodynamics in patients with liver cirrhosis. Data analysis Data sources: medical text books, medical journals, and medical websites that have updated researches with key words (stomach hemodynamics) in the title of the paper. Study selection: systematic reviews that addressed stomach hemodynamics and studies that addressed gastric vascular changes in liver cirrhosis. Data extraction: a special search was conducted at midline with the key words stomach and hemodynamics in the title of the paper; extraction was performed, including the assessment of the quality and the validity of the papers that met with the prior criteria that describe the review. Data synthesis: the main result of the review. Each study was reviewed independently; the data obtained were rebuilt in a new language according to the need of the researcher and arranged into topics through the article. Recent findings Transjugular intrahepatic portosystemic stentshunt or surgically created shunts are excellent salvage procedures. Over the next decade, the management of patients with varices may improve with the availability of additional pharmacological agents that specifically target intrahepatic circulation, improved endoscopic techniques, and a greater availability of liver transplantation. Conclusion Gastroesophageal varices should be treated as for esophageal varices, whereas fundal varices do not respond well to therapeutic modalities used in esophageal varices. Pharmacological therapies, presumably reducing portal pressure and gastric blood flow, have been used to treat acute bleeding. Transjugular intrahepatic portosystemic stentshunt and shunt surgery have not been analyzed extensively as a treatment for acute or chronic portal hypertensive gastropathy bleeding. Secondary prophylaxis of portal hypertensive gastropathy bleeding with nonselective b-blockers is recommended.


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