A member asked:

My husband has to have frequent blood transfusions. endo with cauterazation has been done several times. he has end stage liver disease. where els?

2 doctors weighed in across 2 answers
Dr. Jason Hemming answered

Specializes in Gastroenterology

Depends: What the bleeding is from in the first. Cirrhosis clearly complicates things and bleeding is a common consequence. I would make sure he has received car from a tertiary care center.

Answered 10/4/2016

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Needs clarification: Optimal management for end stage liver disease / esld, requires a close relationship between the patient and their doctor( s). Many esld patients need frequent endo for emergent bleeding control - especially for varix (banding is more effective). Tips / shunting - is life saving when indicated. The frequency of transfusion and endo maybe reduced if he is medically optimized.

Answered 8/4/2012

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