What to do if your esophagogastric fundal varices rupture and bleed

After rupture and bleeding of esophagogastric fundic varices, there are various treatment methods, including surgical and non-surgical treatments. 1. Non-surgical treatment: it is suitable for patients with poor general condition, poor liver function and difficult to tolerate surgery. It includes rehydration, blood transfusion, growth inhibitor and other medications, endoscopic treatment, triple lumen tube compression for hemostasis, and transjugular intrahepatic portosystemic shunt. 2. Surgical treatment: it is suitable for those who have had or are having gastrointestinal bleeding, or those who have obvious varicose veins and are still in good general condition, with good liver function (liver function childA grade, B grade), and are estimated to be able to tolerate surgery. Surgical modalities include shunt type, flow-breaking type and compound type. 3. If the bleeding is aggressive and large in volume, and the bleeding cannot be controlled within 48 hours after strict medical treatment, or if the bleeding recurs within 24 hours after hemostasis, emergency surgery should be performed. Once rupture of fundic varices causes bleeding, it is very likely to bleed again and again, and each bleeding will bring damage to the liver, so for patients who have a history of bleeding, they should be operated at the same time under full preoperative preparation, which not only prevents rebleeding, but also reduces the occurrence of hepatic encephalopathy. In case of rupture and bleeding of the esophagogastric fundus varices, especially if the bleeding volume is large, it may be life-threatening and should be treated quickly and aggressively in the hospital.