{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T17:18:21Z","timestamp":1694625501520},"reference-count":0,"publisher":"Hogrefe Publishing Group","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Praxis"],"published-print":{"date-parts":[[2002,3,1]]},"abstract":"<jats:p> En cas d'h\u00e9mat\u00e9m\u00e8se, une endoscopie en urgence doit \u00eatre effectu\u00e9e aussi rapidement que possible. En cas de mise en \u00e9vidence d'un ulc\u00e8re, un traitement par endoscopie doit \u00eatre effectu\u00e9 en pr\u00e9sence d'un saignement actif ou de vaisseaux visibles. Il n'y a pas de diff\u00e9rence significative entre les diff\u00e9rentes formes d'h\u00e9mostase. La m\u00e9thode de r\u00e9f\u00e9rence en cas de saignement de varices oesophagiennes est l'h\u00e9mostase endoscopique par ligature ou scl\u00e9rose. Pour la pr\u00e9vention de r\u00e9cidive, la ligature s'est impos\u00e9e comme la m\u00e9thode de choix en raison de taux de complications nettement plus bas. Il est recommand\u00e9 de compl\u00e9ter le traitement par un b\u00eatabloquant, particuli\u00e8rement chez les patients qui pr\u00e9sentent une gastropathie hypertensive portale. En prophylaxie primaire, l'indication \u00e0 un traitement combinant un b\u00eatabloquant et un d\u00e9riv\u00e9 nitr\u00e9 est pos\u00e9e chez les patients avec de grosses varices de coloration rouge et chez ceux pr\u00e9sentant une fonction h\u00e9patique perturb\u00e9e. <\/jats:p>","DOI":"10.1024\/0369-8394.91.12.493","type":"journal-article","created":{"date-parts":[[2006,1,31]],"date-time":"2006-01-31T12:03:48Z","timestamp":1138709028000},"page":"493-497","source":"Crossref","is-referenced-by-count":0,"title":["Der Patient mit Bluterbrechen \u2013 wie weiter?"],"prefix":"10.1024","volume":"91","author":[{"family":"Vogt","sequence":"first","affiliation":[{"name":"Medizinische Klinik, Fachbereich Gastroenterologie, St\u00e4dtische Kliniken Esslingen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","container-title":["Praxis"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1024\/0369-8394.91.12.493","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,8]],"date-time":"2022-05-08T12:04:40Z","timestamp":1652011480000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/0369-8394.91.12.493"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,3,1]]},"references-count":0,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2002,3,1]]}},"alternative-id":["10.1024\/0369-8394.91.12.493"],"URL":"https:\/\/doi.org\/10.1024\/0369-8394.91.12.493","relation":{},"ISSN":["1661-8157","1661-8165"],"issn-type":[{"value":"1661-8157","type":"print"},{"value":"1661-8165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,3,1]]}}}