Discover and avoid 3 mistakes that lead a patient with liver cirrhosis to the emergency room: https://hotm.art/treserrorescirrosis Esophageal varices: Esophageal varices are abnormal dilated veins that can occur in the esophagus as well as the stomach. See the latest article on ???????????????????????? ????????????????á???????????????????? • Esophageal varices endoscopy They occur as a complication of liver cirrhosis. In cirrhotic patients there is fibrosis in the liver, so the liver begins to become hard and the amount of blood that arrives through the portal vein remains the same, so as there is a lot of blood, it tries to escape, it succeeds and this escape is through some collaterals, these collaterals are the esophageal or gastric varices. The problem is that they can bleed. When gastroenterologists do an endoscopy we look for esophageal varices or gastric varices. Who are we going to treat? Almost everyone, except for one group, this group is those patients who have small varices and when we see them there are no red signs. Red signs are little dots found on varices that tell us that this varice is at high risk of bleeding, so if we have a patient with small varices, no red signs, and it is a Child Pugh A, meaning that it is compensated, this patient might not receive treatment for the moment, but that doesn't mean that we don't have to do check-ups, we have to do a check-up with an endoscopy in one or two years and this will depend on whether the patient has already eliminated the cause that produced cirrhosis: NASH, hepatitis, alcohol, etc. The other group of patients with large esophageal varices, we can offer them two options: The first is endoligation, the endoligation is a system that is attached to the endoscope and we put the rubber band on. Gastric varices are different, here you have to do therapy with cyanoacrylate but only if the patient bleeds. The other option we have is pharmacological, the pharmacological option tells us that we can use beta blockers such as carvedilol or propranolol, if the patient has never bled we could safely use carvedilol and the patient has already bled we must use propranolol. ___ // DO YOU HAVE CIRRHOISHEPATIC? FOLLOW USONINSTAGRAM AND JOIN THE FACEBOOK GROUP ???? ???????????????????????????????????? ☛☛☛ / elclubdelacirosishepatica ???? / elclubdelacirosishepatica ___ // RESOURCES ✦ Esophageal varices - Mayo Clinic https://www.mayoclinic.org/es-es/dise... ✦ Esophageal varices - World Gastroenterology Organization Global Guidelines 2015 https://www.worldgastroenterology.org... ✦ Esophageal varices bleeding - MedlinePlus https://medlineplus.gov/spanish/ency/... ___ // M O R E VIDEOS ???? ╞COAGULATION IN LIVER CIRRHOSIS: • Coagulation in cirrhosis ╞ INTERVIEW LIVER CIRRHOSIS AND FATTY LIVER: • Interview Liver Cirrhosis and Fatty Liver... ╞ COMPLICATIONS OF LIVER CIRRHOSIS: • Complications of Liver Cirrhosis ╞ LIVER CIRRHOSIS TELEVISION INTERVIEW: • Symptoms of cirrhosis ╞ CARE IN LIVER CIRRHOSIS: • liver cirrhosis care ╞ EXERCISES IN LIVER CIRRHOSIS: • EXERCISES IN CIRRHOSIS ╞ WARNING SIGNS OF LIVER CIRRHOSIS: • Warning signs in Liver Cirrhosis ╞ LIVER CIRRHOSIS TREATMENT: • Liver Cirrhosis Treatment ___ ???? FOLLOW ME ONLINE ???? ✔INSTANT DOWNLOAD ☛☛☛ / juliosantiagomarcelo ✔INSTALLATION ☛☛☛ / dr.juliosantiagomarcelo ✔ASK FOR DETAILS ☛☛☛ / julio-santiago-marcelo-5169b119a ✔PRACTICE ☛☛☛ dr.juliosantiagomarcelo ???? For contact or collaborations: [email protected] ☎️ For in-person appointments in Lima or online throughout Peru and abroad, write to WhatsApp: +51 917623134 ___ // ABOUT ME ????‍⚕️ Hello! My name is Julio Santiago Marcelo, I am a Gastroenterologist and I want to help people by giving them information about diseases that affect the digestive tract. I am Peruvian and you will see me on the networks doing what I like the most: Helping people ???? I am very happy that you are here ????