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10.1177/2050640615570148 http://scihub22266oqcxt.onion/10.1177/2050640615570148 C4480536!4480536 !26137303     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26137303 &cmd=llinks): Failed to open stream: HTTP request failed! 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Management of acute variceal bleeding using hemostatic powder |pdf=|usr=}}{{26137303 }} gab.com Text Management of acute variceal bleeding using hemostatic powder JO: United European Gastroenterol J http://www.kidney.de/pget.php?&tw=1&pmid=26137303 #FOAvip BACKGROUND AND OBJECTIVES: This study aimed to test the safety and efficacy of Hemospray® for emergency control of acute variceal bleeding (AVB) due to portal hypertension in cirrhotic patients. PATIENTS AND METHODS: This single-arm, prospective trial, conducted at two hospitals in Belgium and Egypt, included patients admitted to the emergency room with hematemesis and/or melena and known or suspected liver cirrhosis. All patients received urgent hemodynamic stabilization, octreotide (50 mcg bolus then 25?mcg/hour for 24 hours) and intravenous ceftriaxone (1?g/hour). Endoscopy to confirm AVB and Hemospray® application (if indicated) was performed within six hours of admission. Patients were kept under observation for 24 hours and underwent second endoscopy and definitive therapy (band ligation and/or cyanoacrylate injection in cases of gastric varices) the next day. RESULTS: Thirty-eight patients were admitted for suspected AVB, and 30 of these had confirmed AVB (70% male; mean age 59.5 years (range, 32.0-73 years)). Child-Pugh class C liver disease was present in 53.4%. Esophageal varices were observed in 83.4% of patients, gastric varices in 10%, and duodenal varices in 6.6%. Spurting bleeding at the time of endoscopy was observed in 43.4%. One patient developed hematemesis six hours after Hemospray® application and underwent emergency endoscopic band ligation. No major adverse events or mortalities were observed during 15-day follow-up. CONCLUSION: Hemospray® application was safe and effective at short-term follow-up for emergency treatment of AVB in cirrhotic patients. Twit Text FOAVip Management of acute variceal bleeding using hemostatic powder ????United European Gastroenterol J http://www.kidney.de/pget.php?&tw=1&pmid=26137303 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26137303 #FOAvip English Wikipedia <ref>{{Cite pmid|26137303 }}</ref> Management of acute variceal bleeding using hemostatic powder #MMPMID26137303 Ibrahim M ; El-Mikkawy A ; Abdalla H ; Mostafa I ; Devière J United European Gastroenterol J 2015[Jun]; 3 (3 ): 277-83 PMID26137303 show ga BACKGROUND AND OBJECTIVES: This study aimed to test the safety and efficacy of Hemospray® for emergency control of acute variceal bleeding (AVB) due to portal hypertension in cirrhotic patients. PATIENTS AND METHODS: This single-arm, prospective trial, conducted at two hospitals in Belgium and Egypt, included patients admitted to the emergency room with hematemesis and/or melena and known or suspected liver cirrhosis. All patients received urgent hemodynamic stabilization, octreotide (50 mcg bolus then 25?mcg/hour for 24 hours) and intravenous ceftriaxone (1?g/hour). Endoscopy to confirm AVB and Hemospray® application (if indicated) was performed within six hours of admission. Patients were kept under observation for 24 hours and underwent second endoscopy and definitive therapy (band ligation and/or cyanoacrylate injection in cases of gastric varices) the next day. RESULTS: Thirty-eight patients were admitted for suspected AVB, and 30 of these had confirmed AVB (70% male; mean age 59.5 years (range, 32.0-73 years)). Child-Pugh class C liver disease was present in 53.4%. Esophageal varices were observed in 83.4% of patients, gastric varices in 10%, and duodenal varices in 6.6%. Spurting bleeding at the time of endoscopy was observed in 43.4%. One patient developed hematemesis six hours after Hemospray® application and underwent emergency endoscopic band ligation. No major adverse events or mortalities were observed during 15-day follow-up. CONCLUSION: Hemospray® application was safe and effective at short-term follow-up for emergency treatment of AVB in cirrhotic patients. äManagement of acute variceal bleeding using hemostatic powder (epmc).pdf DeepDyve Pubget Overpricing