Perceptions on the management of varices and on the use of albumin in patients with cirrhosis among GI specialists in Au
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Wien Klin Wochenschr https://doi.org/10.1007/s00508-020-01769-9
Perceptions on the management of varices and on the use of albumin in patients with cirrhosis among GI specialists in Austria Nikolaus Pfisterer · Caroline Schmidbauer · Florian Riedl · Andreas Maieron · Vanessa Stadlbauer · Barbara Hennlich · Remy Schwarzer · Andreas Puespoek · Theresa Bucsics · Maria Effenberger · Simona Bota · Michael Gschwantler · Markus Peck-Radosavljevic · Mattias Mandorfer · Christian Madl · Michael Trauner · Thomas Reiberger Received: 4 August 2020 / Accepted: 3 November 2020 © The Author(s) 2020
Summary Background Portal hypertension (PH) causes severe complications in patients with liver cirrhosis, such as variceal bleeding and ascites; however, data on the knowledge and perceptions on guideline recommendations for the management of varices and the use of albumin is scarce. Methods We designed two structured surveys on (i) the management of varices and (ii) the use of al-
bumin for Austrian physicians of specialized GastroIntestinal (GI) centers. The interviewed physicians were confronted spontaneously and provided ad hoc responses to the questionnaire. Results In total, 158 surveys were completed. Interestingly, many specialists (30%) would recommend a follow-up gastroscopy after 1 year in patients with compensated cirrhosis without varices (i.e., overtreatment). For small varices, 81.5% would use non-se-
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00508-020-01769-9) contains supplementary material, which is available to authorized users.
F. Riedl · A. Maieron Klinische Abteilung für Innere Medizin 2, Universitätsklinikum St. Pölten, St. Pölten, Austria
N. Pfisterer · C. Schmidbauer · R. Schwarzer · T. Bucsics · M. Mandorfer · M. Trauner · T. Reiberger () Division of Gastroenterology and Hepatology, Department of Internal Medicine III, Vienna General Hospital and Medical University of Vienna, Währinger Gürtel 18–20, 1090 Vienna, Austria [email protected] N. Pfisterer · C. Schmidbauer · R. Schwarzer · T. Bucsics · M. Mandorfer · T. Reiberger Vienna Hepatic Hemodynamic Lab, Medical University of Vienna, Vienna, Austria N. Pfisterer · B. Hennlich · C. Madl 4. Medizinische Abteilung für Gastroenterologie und Hepatologie, Klinik Landstraße / Krankenanstalt Rudolfstiftung, Wien, Austria C. Schmidbauer · M. Gschwantler 4. Medizinische Abteilung für Gastroenterologie und Hepatologie, Klinik Ottakring / Wilhelminenspital, Wien, Austria
V. Stadlbauer Klinische Abteilung für Gastroenterologie und Hepatologie, LKH-Univ. Klinikum Graz, Graz, Austria S. Bota · M. Peck-Radosavljevic Innere Medizin und Gastroenterologie (IMuG) mit zentraler Aufnahme und Erstversorgung (ZAE), Klinikum Klagenfurt am Wörthersee, Klagenfurt am Wörthersee, Austria A. Puespoek Abteilung für Innere Medizin II, Krankenhaus der Barmherzigen Brüder, Eisenstadt, Austria M. Effenberger Abteilung für Innere Medizin I, Universitätsklinikum Innsbruck, Innsbruck, Austria T. Reiberger Christian-Doppl
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