Use of octreotide in the acute management of bleeding esophageal varices.

Abstract

Acute hemorrhage from esophageal varices is a medical emergency; despite early diagnosis and treatment the associated hospital mortality remains high. The clinical research summarized in this paper shows that octreotide has a beneficial effect on portal hemodynamics in cirrhotic patients. In randomized controlled trials octreotide has been effective in halting initial hemorrhage and in preventing reoccurrence of bleeding. Somatostatin and octreotide appear to be equivalent in terms of therapeutic efficacy but octreotide is the less expensive option. For suspected variceal bleeding an octreotide infusion should be initiated immediately. To prevent further bleeding the drug should be continued for two to five days after endoscopic variceal ligation.

• Authors: D C Sadowski
• Journal: Canadian journal of gastroenterology = Journal canadien de gastroenterologie (Can J Gastroenterol) 1997 May-Jun Vol. 11 Issue 4 Pg. 339-43 ISSN: 0835-7900 [Print] Canada
• PMID: 9218860 (Publication Type: Journal Article, Review)

Chemical References

• Gastrointestinal Agents
• Octreotide

Topics

• Acute Disease
• Clinical Trials as Topic
• Esophageal and Gastric Varices (drug therapy)
• Gastrointestinal Agents (therapeutic use)
• Gastrointestinal Hemorrhage (drug therapy)
• Hemodynamics (drug effects)
• Humans
• Octreotide (therapeutic use)
• Portal System (physiopathology)