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Åreknuter i spiserøret, øsofagusvaricer

Ved økt trykk i venene i veggen på spiserøret kan de utvides til åreknuter. Dersom en åreknute brister, kan det oppstå livstruende blødning. Illustrasjonen viser et normalt spiserør som leder til magesekken, med leveren liggende foran.

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Den ligger åpent tilgjengelig på NHI.no sammen annen relevant informasjon

https://nhi.no/sykdommer/magetarm/spiseror/areknuter-i-spiseroret-osofagusvaricer/ 

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Referanser

Dette dokumentet er basert på det profesjonelle dokumentet Øsofagusvaricer. Referanselisten for dette dokumentet vises nedenfor.

  1. Sanyal AJ. Overview of the management of patients with variceal bleeding. UpToDate, last updated Oct 30, 2019. UpToDate 
  2. Dolman GE. Oesophageal varices. BMJ Best Practice, last updated 15 Jan 2020.
  3. Sanyal AJ. Primary prophylaxis against variceal hemorrhage in patients with cirrhosis. UpToDate, last updated Nov 29, 2010. UpToDate 
  4. D'Amico G, Pagliaro L, Pietrosi G, Tarantino I. Emergency sclerotherapy versus vasoactive drugs for bleeding oesophageal varices in cirrhotic patients. Cochrane Database of Systematic Reviews 2010, Issue 3. Art. No.: CD002233. DOI: 10.1002/14651858.CD002233.pub2. DOI 
  5. Ioannou GN, Doust J, Rockey DC. Terlipressin for acute esophageal variceal hemorrhage. Cochrane Database of Systematic Reviews 2003, Issue 1. Art. No.: CD002147. DOI: 10.1002/14651858.CD002147. DOI 
  6. Gøtzsche PC, Hróbjartsson A. Somatostatin analogues for acute bleeding oesophageal varices. Cochrane Database of Systematic Reviews 2008, Issue 3. Art. No.: CD000193. DOI: 10.1002/14651858.CD000193.pub3. DOI 
  7. Chavez-Tapia NC, Barrientos-Gutierrez T, Tellez-Avila FI, Soares-Weiser K, Uribe M. Antibiotic prophylaxis for cirrhotic patients with upper gastrointestinal bleeding. Cochrane Database of Systematic Reviews 2010, Issue 9. Art. No.: CD002907. DOI: 10.1002/14651858.CD002907.pub2 DOI 
  8. Garcia-Tsao G, Abraldes JG, Berzigotti A, et al. Portal hypertensive bleeding in cirrhosis: risk stratification, diagnosis, and management: 2016 practice guidance by the American Association for the Study of Liver Diseases. Hepatology. 2017 Jan;65(1):310-35. PubMed 
  9. Goff JS. Endoscopic variceal ligation. UpToDate, last updated Apr 23, 2021. UpToDate 
  10. Brenna E, Flaaten B, Waldum HL, Myrvold HE. Behandling av oesophagusvaricer med strikkligatur. Tidsskr Nor Lægeforen 2000; 120: 2626-9. Tidsskrift for Den norske legeforening 
  11. Wright AS, Rikkers LF. Current management of portal hypertension. J Gastrointest Surg 2005; 9: 992-1005. PubMed 
  12. Dimcevski G. Øsofagusvaricer. Norsk legemiddelhåndbok, sist oppdatert 20.01.2021. www.legemiddelhandboka.no 
  13. Ge PS, Runyon BA. The changing role of beta-blocker therapy in patients with cirrhosis. J Hepatol 2014; 60: 643-53. pmid:24076364 PubMed 
  14. Romero G, Kravetz D, Argonz J, et al. Comparative study between nadolol and 5-isosorbide mononitrate vs. endoscopic band ligations plus sclerotherapy in the prevention of variceal rebleeding in cirrhotic patients: a randomized controlled trial. Aliment Pharmacol Ther 2006; 24: 601-11. PubMed 
  15. Zoli M, Merkel C, Magalotti D, et al. Natural history of cirrhotic patients with small esophageal varices: a prospective study. Am J Gastroenterol 2000; 95: 503-8. PubMed 
  16. Mukherjee S, Sorrell MF. Beta-blockers to prevent esophageal varices - an unfulfilled promise. N Engl J Med 2005; 353: 2288-90. PubMed 
  17. D'Amico, de Franchis R, a Cooperative Study Group. Upper digestive bleeding in cirrhosis. Hepatology 2003; 38: 599-612. PubMed 
  18. Bosch J, Garcia-Pagan JC. Prevention of variceal rebleeding. Lancet 2003; 361: 952-4. PubMed 
  19. de Franchis R; Baveno VI Faculty. Expanding consensus in portal hypertension: report of the Baveno VI consensus workshop: stratifying risk and individualizing care for portal hypertension. J Hepatol. 2015;63:743-752. PubMed