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Várices esofágicas sangrantes - Symptom

Síntomas:

Las personas con enfermedad hepática crónica y várices esofágicas pueden no presentar ningún síntoma.

Si hay sólo una pequeña cantidad de sangrado, el único síntoma puede ser vetas oscuras o negras en las heces.

Si se presentan grandes cantidades de sangrado, los síntomas pueden abarcar:

Signos y exámenes:

Examen físico:

Los exámenes para determinar de dónde procede el sangrado y detectar el sangrado activo abarcan:

  • Esofagogastroduodenoscopia (EGD)
  • Tubo a través de la nariz hasta el estómago (sonda nasogástrica) para buscar signos de sangrado

Algunos médicos recomiendan la EGD para pacientes que recibieron recientemente el diagnóstico de cirrosis de leve a moderada para detectar várices esofágicas y tratarlos antes de que haya sangrado.

  • Reviewed last on: 1/20/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Garcia-Tsao G, Sanyal AJ, Grace ND, Carey WD; Practice Guidelines Committee of American Association for Study of Liver Diseases; Practice Parameters Committee of American College of Gastroenterology. Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis. Am J Gastroenterol. 2007;102:2086-2102.

Garcia-Tsao G. Cirrhosis and its sequellae. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 157.

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