Rupture of gastroesophageal varices DEA managing

This article on upper digestive tract bleeding, dedicated to the rupture of gastroesophageal varices, deals with the issues connected to their treatment in the Emergency Room. The authors refer to concepts of epidemiology, natural history, physiopathology of the oesophageal and gastric varices and elements of therapy, including both specific (stabilisation) and specific (pharmacology and endoscopy) aspects, based on the latest scientific evidence. The main interest of the ER doctor obviously involves the measures needed to achieve haemodynamic stabilisation and specific pharmacological therapy. Although the article does not examine the endoscopic and prophylactic measures taken by ER doctors, these are dealt with briefly for a better understanding of the issue as a whole.