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Browse CATs  internal medicine  gastroenterology  upper gastrointestinal bleeding

Diagnosis Economics Harm/ aetiology Prognosis Therapy Peptic ulcers Varices

Upper GI bleed varices: TIPS prevented more rebleeds than sclerotherapy but caused more encephalopathy. Level of evidence 1b Expiry Date October 2002 Upper GI bleed cirrhosis: varices: sclerotherapy and octreotide prevented more bleeds than sclerotherapy alone. Level of evidence 1b Expiry Date July 2003 Upper GI bleed varices: TIPS prevented rebleeding better than sclerotherapy but led to more encephalopathy. Level of evidence 1b Expiry Date October 2002 Upper GI bleed sclerotherapy causes more complications than propranolol without reducing rebleeding or death Level of evidence 1a Expiry Date October 2002 Upper GI bleed acute variceal bleeding: emergency sclerotherapy is effective at controlling bleeding and reducing mortality, but surgery is better at preventing rebleeding Level of evidence 1a Expiry Date October 2002 Upper GI bleed in patients with varices endoscopic ligation is more effective and safer than sclerotherapy. Level of evidence 1a Expiry Date October 2002 Upper GI bleed varices: octreotide or somatostatin reduces transfusion requirements. Level of evidence 1a Expiry Date July 2003 Upper GI bleed varices: prevention of bleeding: beta-blockers are effective, but surgery increases mortality. Level of evidence 1a Expiry Date October 2002 Upper GI bleed bleeding varices: early sclerotherapy reduced rebleeds Level of evidence 2b Expiry Date October 2002 Upper GI bleed varices: octreotide and band ligation prevented rebleeding better than band ligation alone. Level of evidence 1b Expiry Date October 2002 Upper GI bleed in patients with varices adding somatostatin to sclerotherapy reduces treatment failure and quantity of transfusions required. Level of evidence 1b Expiry Date December 2002 Upper GI bleed varices: TIPS reduced variceal rebleeding better than sclerotherapy. Level of evidence 1b Expiry Date July 2003 Upper GI bleed varices: TIPS was more effective than banding at preventing rebleeds Level of evidence 1b Expiry Date October 2002 Upper GI bleed varices: TIPS prevented rebleeds more effectively than sclerotherapy Level of evidence 1b Expiry Date October 2002 Upper GI bleed varices: TIPS increased rehospitalisation without reducing rebleeding or death Level of evidence 1b Expiry Date October 2002 Upper GI bleed varices: distal spleno-renal shunt decreases rebleeding. Level of evidence 1a Expiry Date October 2002 Upper GI bleed varices: oesophageal transection compared with sclerotherapy increased early mortality without reducing rebleeding Level of evidence 1b Expiry Date October 2002 Upper GI bleed varices: staple transection of the oesophagus controlled bleeding better than sclerotherapy Level of evidence 1b Expiry Date October 2002 Upper GI bleed isosorbide mononitrate reduced rebleeds and death during sclerotherapy to eradicate varices Level of evidence 1b Expiry Date October 2002 Upper GI bleed no clear benefit from adding isosorbide mononitrate to nadolol to patients with oesophageal varices and cirrhosis. Level of evidence 2b- Expiry Date November 2002 Upper GI bleed varices: adding octreotide to sclerotherapy reduced rebleeding and death Level of evidence 1b Expiry Date December 2002