INTRODUCTION: The management of @entity360 caused by rupture of gastric and/or esophageal varices in @entity1 with @entity1575 must focus on the initial control of the @entity548 avoiding further worsening of an already poor liver function and the prevention of early relapsing @entity548 . Therapeutic options include endoscopic, pharmacological and surgical methods. MATERIAL AND METHODS: Prospective study of the results obtained after the follow-up of 90 @entity548 episodes in a total of 54 @entity1 , 35 @entity1 and 19 @entity1 , with a mean age of 58 years (range 32-77), to which a therapeutic protocol for acute @entity548 secondary to portal @entity101 was applied over a 22-months period. @entity1 classification according to @entity1 -Pugh upon admission was 57% @entity1 A, 34% @entity1 B and 9% @entity1 C. RESULTS: Mean hospital length of stay was 9 days (2-50). Of the 90 @entity548 episodes, 15 were early relapsing @entity548 episodes (16.7%). Twelve @entity1 died (mortality rate of 22.2% by @entity1 and 13.4% by @entity548 episodes). Twelve emergency surgical procedures were performed because of the persistence of @entity548 . Forty one per cent of @entity1 were readmitted because of relapsing @entity548 at least once during the follow-up period. CONCLUSIONS: Management of @entity360 due to @entity6312 in @entity1 with @entity1575 requires a combined therapy in order to attain maximum effectiveness in acute @entity548 episodes and to address all potential later consequences. Such therapy should be provided in a hospital fully equipped and with specialists in this pathology. Based on our experience, emergency surgery as rescue treatment for persistent or short-term relapsing @entity548 should be restricted to @entity1 with good hepatic function because of its high morbidity and mortality.

Results of the management of @entity360 from XXXX .

@entity1 :: ('9606', 'Species') :: ['Child', 'women', 'patients', 'Patient', 'men'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding', 'haemorrhage', 'haemorrhagic'] @entity6312 :: ('MESH:D014648', 'Disease') :: ['gastroesophageal varices'] @entity1575 :: ('MESH:D008103', 'Disease') :: ['liver cirrhosis'] @entity360 :: ('MESH:D006471', 'Disease') :: ['upper gastrointestinal bleeding']
@entity6312 :: (MESH:D014648,Disease) :: ['gastroesophageal varices']
