What is varicose bleeding?

Esophagogastric variceal bleeding can generally be treated by drug therapy, gastroscopic hemostasis, surgical treatment, etc., as follows:

1. Drug therapy

After examination, patients with less bleeding volume can be prescribed to use somatostatin for injection, octreotide acetate injection, terlipressin for injection and other vasoactive drugs, which can reduce portal vein blood flow, reduce portal vein pressure and help stop bleeding.

2. Gastroscopic hemostasis

can be determined by gastroscopy to determine the bleeding location and bleeding volume, and ligation or tissue glue can be used to stop bleeding.

3. Surgical treatment

If the bleeding volume is large and the medication effect is not obvious, surgical treatment can be performed, generally including pericardial vascular disconnection, portal-azygos disconnection, total portal-systemic shunt, etc.