Hemorrhage esophageal

Schreiber JB, Covington JA. Aspirin-induced esophageal hemorrhage. JAMA 1988 259(ll) 1647-8. 

Esophageal hemorrhage occurs as both an immediate and a delayed procedural complication of esophageal stent insertion. Early hemorrhage may occur as a result of direct trauma to blood vessels in the esophageal wall or more usually damage to the friable vessels within the tumor itself. Late hemorrhage may be due to erosion of blood vessels by a direct pressure effect of the stent or may be due to local tumor invasion and completely unrelated to the presence of the stent. 

Esophageal hemorrhage is usually mild and self-limiting, but can be catastrophic and life-threatening. In many instances, bleeding is subcUnical and may not be noticed by the patient or chnician. The true incidence of mild hemorrhage is probably underestimated. 

Kos X, Trotteur G, Dondelinger RF (1998) Delayed esophageal hemorrhage caused by a metal stent treatment with embolization. CVIR 21 428 30... 

Pancreatitis, abdominal distention, ulcerative esophagitis, nausea, increased appetite and weight gain, possible peptic ulcer with perforation, hemorrhage... 

Contraindications Glaucoma, obstructive uropathy, obstructive disease of Gl-anti-cholinergic tract, paralytic ileus, intestinal atony of the elderly or debilitated patient, unstable cardiovascular status in acute hemorrhage, severe ulcerative colitis especially if complicated by toxic megacolon, myasthenia gravis, hiatal hernia associated with reflux esophagitis, hypersensitivity to any component of f he formulaf ion, acuf e infermiffenf porphyria. 

Rumex acetosella L. R. aquaticus L. China Vitexin, quercetin-3-galactoside, violaxanthin, vitamin C, emodin, chrysophanein, chrysophanol, nepodin, hyperin, physcion.48-50 Homeopathically for cramps, hemorrhage, sore throat, esophagitis, diuretic, treat blood vomiting. 

Peptic ulcer with possible perforation and hemorrhage, pancreatitis, abdominal distension, ulcerative esophagitis... 

Sodium and fluid retention, congestive heart failure in susceptible patients, potassium loss, hypokalemic alkalosis, hypertension Muscle weakness, steroid myopathy, loss of muscle mass, vertebral compression fractures, aseptic necrosis of humeral and femoral heads, pathologic fracture of long bones, osteoporosis Peptic ulcer with possible perforation and hemorrhage, pancreatitis, abdominal distension, ulcerative esophagitis... 

ACUTE HEMORRHAGE FROM ESOPHAGEAL VARICES Octreotide Acetate... 

Long-term maintenance therapy should be considered to prevent complications and worsening of esophageal function in patients who have symptomatic relapse after discontinuation of therapy or dosage reduction, including patients with complications such as Barrett s esophagus, strictures, or hemorrhage. 

Paquet, K.-X, Feussner, H. Endoscopic sclerosis and esophageal balloon tamponade in acute hemorrhage from esophagogastric varices a prospective controlled randomized trial. Hepatology 1985 5 580-583... 

Ringe, B., Lang, H., Tusch, G., Pichlmayr, R. Role of liver transplantation in management of esophageal variceal hemorrhage. World J. Surg. 1994 18 233-239... 

W., Hoeprich, R Bacterial peritonitis following esophageal injection sclerotherapy for variceal hemorrhage. Gastrointest. Endosc. 1990 36 131-133... 

By December 1995 the FDA had received 81 reports of esophageal symptoms and 7 had esophageal ulcers. No hemorrhages were reported (SEDA-22, 117). 

In three men with severe chronic active hepatitis, suramin treatment prolonged the prothrombin time in all three, caused a rise in bilirubin in two, and may have led to hemorrhage from esophageal varices in one patient and to hepatic encephalopathy in another (28). 

Trade names Glypressin (IS Pharma) Haemopressin Lucassin Terlipressin (Ferring) (Bissendorf Peptide) Variquel Indications Esophageal variceal hemorrhage Category Vasopressin agonist Half-life 50-70 minutes... 

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