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The EV with active bleeding were arrested by panendoscopic intervention. However, repeat surgery revealed transmural laceration over the cardia, and immediate surgery and splenectomy were needed. The patient died postoperatively in the surgical intensive care unit due to bleeding tendency and hypovolemic shock. We suggest that palliative care and\/or hospice care should have been considered for this patient before the crisis developed and that physicians require education about timely palliative and hospice care for patients with end-stage nonmalignant disease.<\/jats:p>","DOI":"10.1177\/1049909113495707","type":"journal-article","created":{"date-parts":[[2013,7,16]],"date-time":"2013-07-16T20:25:54Z","timestamp":1374006354000},"page":"454-458","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["When and How Should Physicians Determine the Need for Palliative and Hospice Care for Patients With End-Stage Liver Disease?"],"prefix":"10.1177","volume":"31","author":[{"given":"Po-Chu","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Trauma, National Taiwan University Hospital, Taipei, Taiwan"},{"name":"Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiao","family":"Lo","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Je","family":"Ko","sequence":"additional","affiliation":[{"name":"Department of Trauma, National Taiwan University Hospital, Taipei, Taiwan"},{"name":"Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheng-Jean","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Po-Huang","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,7,15]]},"reference":[{"key":"bibr1-1049909113495707","doi-asserted-by":"publisher","DOI":"10.1002\/hep.25621"},{"key":"bibr2-1049909113495707","unstructured":"World Health Organization. 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