{"id":1411,"date":"2022-02-07T14:36:12","date_gmt":"2022-02-07T11:36:12","guid":{"rendered":"https:\/\/whmc-sa.com\/?p=1411"},"modified":"2026-10-31T20:44:52","modified_gmt":"2026-10-31T17:44:52","slug":"50-of-episodes-of-esophageal-varices-bleeding-improve-spontaneously","status":"publish","type":"post","link":"https:\/\/whmc-sa.com\/en\/50-of-episodes-of-esophageal-varices-bleeding-improve-spontaneously\/","title":{"rendered":"50% of episodes of esophageal varices bleeding improve spontaneously"},"content":{"rendered":"

50% of episodes of esophageal varices bleeding improve spontaneously<\/strong><\/p>\n

Varicose vein ligation is an effective and fast process
\nDr. Waleed bin Mohammed Al-Huzaim<\/a><\/p>\n

\nEsophageal varices are open veins in the lining of the lower part of the esophagus that may rupture and cause dangerous bleeding. Enlarged veins are caused by a condition of increased pressure (called portal hypertension) in the portal vein, a blood vessel (vein) that carries venous blood from the stomach and intestine to the liver.<\/p>\n

High portal blood pressure is caused by cirrhosis of the liver. This cirrhosis of the liver puts pressure on the internal veins in it, and this is reflected in the portal vein and its venous tributaries, as the pressure in all of them rises. Symptoms of this condition include the so-called black stool (a symptom resulting from cases of bleeding from the upper part of the digestive tract, as the color of blood changes when exposed to digestive juices and turns black in color), and another important symptom of esophageal varices is vomiting blood.<\/p>\n

In recent years it has been revealed that the use of certain treatments can relieve portal hypertension and thus reduce the likelihood of bleeding from esophageal varices. These treatments include regular daily use of drugs such as beta blockers or nitrates.<\/p>\n

If one of these swollen veins bursts, this is a medical emergency. The patient may need a blood transfusion to restore normal blood volume and thus normal blood pressure and heart rate as well as restore normal blood cell count. The patient needs treatment if the bleeding does not stop on its own.<\/p>\n

\nEsophageal varices as seen endoscopically<\/p>\n

Half of all bleeding episodes of esophageal varices improve on their own, although the risk of recurrence is often higher for people who need treatment. Intravenous drugs can be given to narrow the dilated veins and reduce pressure in the portal and esophageal veins.<\/p>\n

If these drugs prefer to stop the bleeding, a thin wire with a balloon attached to it can be inserted and guided through the mouth to the esophagus and stomach, then the balloon is inflated to press against the walls of the widened veins at the bottom of the esophagus, stopping the bleeding.<\/p>\n

Another treatment, called endoscopic sclerotherapy, involves injecting a solution into the swollen esophageal veins, causing them to shrink. This method is effective in 90% of cases, but it can cause ulcers in the esophagus, more bleeding, or narrowing of the esophageal opening.<\/p>\n

Endoscopic ligation is a newer technique in which the swollen veins are tied with elastic rubber bands. This method is safer than sclerotherapy and has the same effectiveness.<\/p>\n","protected":false},"excerpt":{"rendered":"

50% of episodes of esophageal varices bleeding improve spontaneously Varicose vein ligation is an effective and fast process Dr. Waleed bin Mohammed Al-Huzaim Esophageal varices are open veins in the lining of the lower part of the esophagus that may rupture and cause dangerous bleeding. Enlarged veins are caused by a condition of increased pressure […]<\/p>\n","protected":false},"author":4,"featured_media":931,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[38],"tags":[],"class_list":["post-1411","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"_links":{"self":[{"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/posts\/1411","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/comments?post=1411"}],"version-history":[{"count":3,"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/posts\/1411\/revisions"}],"predecessor-version":[{"id":1802,"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/posts\/1411\/revisions\/1802"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/media\/931"}],"wp:attachment":[{"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/media?parent=1411"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/categories?post=1411"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/tags?post=1411"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}