{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:38:07Z","timestamp":1777901887860,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[1995,10,1]],"date-time":"1995-10-01T00:00:00Z","timestamp":812505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[1995,10]]},"abstract":"<jats:p>A questionnaire was sent to 116 consultant gastroenterologists in Scotland and North-East England to assess their management of oesophageal variceal haemorrhage. Most respondents (58%) dealt with &lt;10 variceal bleeds per year. Sclerotherapy, tamponade, vasoconstrictor therapy and oesophageal transection were available to 87.5\u201397.5% clinicians, compared with trans-jugular intrahepatic portosystemic shunts (T1PSS) (39.5%) and band ligation (27%). To arrest bleeding, sclerotherapy, tamponade, octreotide\/somatostatin and vasopressin\/ glypressin were used by 75.5%, 44.5%, 37% and 32% respectively (many used &gt;1 treatment) and if bleeding continued, transection, TIPSS and shunt surgery were considered by 44.5%, 27% and 6%. Sclerotherapy was used for primary and secondary prophylaxis by 11% and 75.5%, and beta-blockers by 17.5% and 49.5% respectively. A wide variation in the management of variceal haemorrhage therefore exists. Most clinicians do not attempt to prevent primary variceal bleeds, with only a minority using beta-blockers but a significant number using sclerotherapy in this situation.<\/jats:p>","DOI":"10.1177\/003693309504000508","type":"journal-article","created":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T00:00:55Z","timestamp":1484092855000},"page":"149-150","source":"Crossref","is-referenced-by-count":4,"title":["Regional Survey on the Management of Oesophageal Variceal Haemorrhage"],"prefix":"10.1177","volume":"40","author":[{"given":"A.J.","family":"Stanley","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.F.","family":"Dillon","sequence":"additional","affiliation":[{"name":"Department of Medicine, Royal Infirmary, Lauriston Place, Edinburgh."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.C.","family":"Hayes","sequence":"additional","affiliation":[{"name":"Department of Medicine, Royal Infirmary, Lauriston Place, Edinburgh."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1995,10,1]]},"reference":[{"key":"bibr1-003693309504000508","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199206043262304"},{"key":"bibr2-003693309504000508","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-119-1-199307010-00001"},{"key":"bibr3-003693309504000508","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(94)90036-1"},{"key":"bibr4-003693309504000508","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(90)91668-Z"},{"key":"bibr5-003693309504000508","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-117-1-59"}],"container-title":["Scottish Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/003693309504000508","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/003693309504000508","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T11:11:38Z","timestamp":1777633898000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/003693309504000508"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,10]]},"references-count":5,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1995,10]]}},"alternative-id":["10.1177\/003693309504000508"],"URL":"https:\/\/doi.org\/10.1177\/003693309504000508","relation":{},"ISSN":["0036-9330","2045-6441"],"issn-type":[{"value":"0036-9330","type":"print"},{"value":"2045-6441","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,10]]}}}