India Hospital Tour by We Care India Medical tourism Company Surgery and Treatment in India by We Care India, Mumbai, Delhi, Chennai, Bangalore Surgery and Treatment in India at Low Cost JCI / ISO accredited hospital and experienced surgeon advantages
Medical tourism by We Care India for Low Cost Surgery and Treatment  at Hospitals in India your healthcare is now our concerns
Call: +91 9029304141 (10 am. To 8 pm. IST)
Post an EnquiryMedical Quote, Free No Obligation for Medical tourism Patients in India( Preferred )
(Only for international patients seeking treatment in India)
Only in India Hospital Tour
     
Gastroenterology
Diseases Of The    Oesophagus
 

Variceal Bleeding

Bookmark and Share Go Back Print This Page Add to Favorites
|
Home > Gastroenterology > Gastroenterology Surgery Procedure > Oesophagus Diseases > Variceal Bleeding

Variceal bleeding


The portal hypertension may lead to the formation of varices, when the increased blood pressure causes the dilatation of the veins with thin walls (mainly the blood vessels around the oesophagus or around the anus); in certain conditions these varicose veins may burst, causing blood loss.

Portal hypertension is the increased pressure in the portal vein and its tributaries resulting from increased resistance to the blood flow into the liver, and is usually caused by the scarring process of cirrhosis. The increased pressure causes varices, or dilatations of the veins tributaries to the portal vein. When varices are located in superficial tissues and have thin walls, they may rupture and bleed. The two main locations where bleeding is likely to occur are the lower oesophagus/upper stomach and the perianal region.

Oesophageal varices are likely to bleed most heavily, and this bleeding is sometimes associated with the onset of hepatic encephalopathy or coma. Because of their location at the lower end of the oesophagus and/or the upper portion of the stomach, bleeding from these varices is often difficult to control.

If discovered before bursting, or after successful emergency treatment, varices can be treated long term with beta blockers, which induce a reduction in the portal vein blood pressure.

If varices burst, they can be obliterated using endoscopically placed rubber bands or injections with a drug that turns the varices into sclerotic tissue. If the bleeding is heavy, a rubber baloon may be placed at the lower end of the esophagus or the upper portion of the stomach, and is then inflated, in order to stop the bleeding by pressure.

If treatment via endoscopy fails to stop the bleeding, a TIPS (Transjugular Intrahepatic Portosystemic Shunt) can be created by inserting a short metal mesh tube through a neck vein into the liver, redirecting part of the blood flow from the portal vein to another vein in the liver. Another possibility is to surgically redirect some of the blood flow from the portal vein around the liver.

Some physicians consider the occurence of bleeding oesophagial varices as a condition more serious than a heart attack. It is vital that the patient is taken without delay to a hospital at the first signs of bleeding. The symptoms are vomiting up blood and/or passsing of dark, almost liquid, bowel motions (melena).

Variceal Bleeding Treatment India offers info on Cost Oesophageal Variceal BleedingIndia, Cost Variceal Bleeding TreatmentIndia, Variceal Bleeding Mumbai-Delhi India

[ Fig: Esophageal varices ]



Symptoms

  • Black, tarry stools
  • Bloody stools
  • Decreased urine output
  • Excessive thirst
  • Light-headedness
  • Paleness
  • Symptoms of chronic liver disease (such as cirrhosis)
  • Vomiting
  • Vomiting blood

^ Back to Top

Causes

Bleeding varices are a life-threatening complication of increased blood pressure in the portal vein caused by liver disease (portal hypertension). The portal vein carries blood from the intestine to the liver. Increased pressure causes the veins to balloon outward. The vessels may break open (rupture). Any cause of chronic liver disease can cause bleeding varices.


Treatment

Treatment options include : -


  • pharmacologic therapy (e.g., vasopressin),
  • temporary balloon tamponade of varices,
  • endoscopic sclerotherapy,
  • variceal ligation,
  • transjugular intrahepatic portacaval shunt (TIPS) surgery
  • portal-systemic shunt surgery.


Nonsurgical Treatment of Variceal Bleeding

These include : -


  • the endoscopic modalities variceal ligation
  • and cyanoacrylate injection
  • the transjugular intrahepatic protosystemic shunt (TIPS)
  • drug therapy with glypressin, somatostatin, or octreotide.

Bleeding from varices is a medical emergency and treatment should be immediate. If the bleeding is not controlled quickly, a person may go into shock or die. In severe cases, a person may need to be placed temporarily on a ventilator to prevent the lungs from filling with blood. Aside from the urgent need to stop the bleeding, treatment is also aimed at preventing future bleeding. The following procedures help treat bleeding varices by reducing the pressure in these veins.

Variceal Bleeding Treatment India offers info on Cost Oesophageal Variceal BleedingIndia, Cost Variceal Bleeding TreatmentIndia


  • Banding : - A procedure performed by a gastroenterologist in which small rubber bands are placed directly over the blood vessels (varices). This will stop the bleeding and eradicate the varices.


  • Sclerotherapy : - A procedure in which a gastroenterologist directly injects the varices with a blood-clotting solution instead of banding them.


  • Transjugular Intrahepatic Portosystemic Shunt (TIPS) : - A radiological procedure in which a stent (a tubular device) is placed in the middle of the liver. The stent connects the hepatic vein with the portal vein. This procedure is done by placing a catheter through a vein in the neck. It is performed to relieve the high blood pressure that has built up in the liver.


  • Distal Splenorenal Shunt (DSRS) : - A surgical procedure that connects the splenic vein to the left kidney vein in order to reduce pressure in the varices and control bleeding.


  • Liver transplant : - A liver transplant may be done in cases of end-stage liver disease.


  • Devascularization : - A surgical procedure that removes the bleeding varices. This procedure is done when a TIPS or a surgical shunt is not possible or unsuccessful in controlling the bleeding


Possible Complications

  • Esophageal stricture after surgery or endoscopic therapy
  • Hypovolemic shock
  • Infection (pneumonia, bloodstream infection, peritonitis)
  • Return of bleeding after treatment
  • Worsening encephalopathy (confusion)



The list of of Gastroenterology Hospitals in India is as follows : -


Apollo Hospitals Bangalore Apollo Hospitals, Bangalore, India
Apollo Hospital Chennai Apollo Hospital, Chennai, India
Apollo Hospitals Hyderabad Apollo Hospitals, Hyderabad, India
Apollo Hospitals Delhi Indraprastha Apollo Hospital, Delhi, India
Apollo Hospitals Kolkata Apollo Gleneagles Hospital, Kolkata, India
Apollo Hospital, Goa, India Apollo Hospital, Goa, India
Wockhardt Hospital Bangalore India Wockhardt Hospital, Bangalore India
Wockhardt Hospital hyderabad, India Wockhardt Hospital, hyderabad, India
Wockhardt Hospital Mumbai, India Wockhardt Hospital, Mumbai, India
Fortis Hospital, Delhi, India Fortis Hospital, Delhi, India
Fortis Hospital Mohali, India Fortis Hospital, Mohali, India
Fortis Hospital Noida, India Fortis Hospital, Noida, India
Manipal Hospital, Bangalore, India Manipal Hospital, Bangalore, India
Sparsh Hospital, Bangalore, India Sparsh Hospital, Bangalore, India
Artemis Hospital, Gurgaon ( Delhi ) , India Artemis Hospital, Gurgaon ( Delhi ) , India
Max Super Specialty hospital,  Delhi, India Max Super Specialty hospital, Delhi, India
Max Devki Devi Heart and Vascular  hospital,  Delhi, India Max Devki Devi Heart and Vascular hospital, Delhi, India
Max Health Check Centre, Delhi, India Max Health Check Centre, Delhi, India
BGS Global Hospital Bangalore, India BGS Global Hospital, Bangalore, India
BGS Global Hospital Chennai, India BGS Global Hospital, Chennai, India
BGS Global Hospital Hyderabad, India BGS Global Hospital, Hyderabad, India


^ Back to Top

For more information, medical assessment and medical quote send your detailed medical history and medical reports
as email attachment to
Email : - info@wecareindia.com
Call: +91 9029304141 (10 am. To 8 pm. IST)
(Only for international patients seeking treatment in India)

 
Send Response
 

Gender : Age :




  

For a detailed evaluation send patient’s medical reports / X rays / doctors notes to info@wecareindia.com
 
Patient Story

Patient Storys

Successful heart surgery at We Care India partner hospital allows Robert Clarke to live a normal life despite a rare genetic disorder We Care india helped Robert find best super specialised surgeon for his rare conditions.

Read    : Robert's Story
See All : Patient's Success Stories

Related Link

Group Websites


Find us on

 
Medical Tourism Search Information For Professionals Resources
Hospitals By :

 

 
 
Neurosurgery, Brain Surgery, Epilepsy Surgery, Brain Tumor Surgery in India

SSL Certificate
Neurosurgery, Heart surgery, Brain Surgery , Brain Tumor Surgery in India
   
 

Copyright © 2009 - 2010 We Care India. All Rights Reserved.
Home | About Us | Site Map | Get a Quote | Disclaimer | Advertise With Us | Contact Us

 

Variceal Bleeding Treatment India offers info on Cost Oesophageal Variceal BleedingIndia, Cost Variceal Bleeding TreatmentIndia, Variceal Bleeding Mumbai-Delhi IndiaIndia, Low Cost Variceal Bleeding Mumbai IndiaIndia, GastroenterologyIndia, Consultant GastroenterologyIndia, Consultant Variceal Bleeding SurgeonIndia, Variceal Bleeding Treatment Hospital MumbaiIndia, Variceal Bleeding Delhi HospitalIndia, Cost Variceal Bleeding Treatment IndiaIndia, Affordable Variceal Bleeding Hospital IndiaIndia, Low Cost Variceal Bleeding Treatment India Info Provided By indiahospitaltour.Com