Cirrhosis and Varices
OVERVIEW
WHAT CAN I DO AT HOME TO PREVENT MORE LIVER INJURY?
WHAT TREATMENTS SHOULD I DISCUSS WITH MY DOCTOR?
WHAT RESOURCES ARE AVAILABLE TO HELP ME?
Esophageal varices are dilated blood vessels in the esophagus that occur as a result of cirrhosis or liver disease. If these vessels become enlarged, they can become fragile and prone to bleeding. Managing esophageal varices is important to prevent serious health problems, such as internal bleeding and death.
There are several methods to manage esophageal varices, including:
Endoscopic variceal ligation (EVL) - This is a procedure in which a doctor uses a scope to tie off the varices. This stops blood flow to the varices and prevents them from bleeding.
Endoscopic sclerotherapy - This is a procedure in which a solution is injected into the varices to shrink them. This helps to prevent bleeding and reduce the size of the varices.
Beta-blockers - These medications help to reduce the pressure in the veins of the esophagus and prevent bleeding from varices. They are usually taken orally on a daily basis.
Antibiotic prophylaxis - Antibiotics are given to patients with esophageal varices to prevent infections, which can make bleeding more likely.
Balloon tamponade - In the case of an emergency, a balloon can be used to stop bleeding by applying pressure to the varices.
It is important to note that some patients with esophageal varices may need multiple treatments over time to manage their condition effectively. It is also important to maintain a healthy lifestyle, such as reducing alcohol consumption, to reduce the risk of developing cirrhosis and esophageal varices.
In conclusion, managing esophageal varices requires a combination of endoscopic procedures, medications, and lifestyle changes. It is important to work closely with a doctor to determine the best course of treatment and to prevent serious health problems.