Case 5

Alissa J. Walsh, Otto C. Buchel, Jane Collier and Simon P.L. Travis

in Oxford Case Histories in Gastroenterology and Hepatology

Published on behalf of Oxford University Press

Published in print March 2010 | ISBN: 9780199557899
Published online November 2012 | e-ISBN: 9780191753329 | DOI:

Series: Oxford Case Histories

Case 5

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A 52-year-old retired army major presented with recurrent haematemesis and melaena. The patient had been previously diagnosed with liver cirrhosis, secondary to alcohol abuse. He had had two episodes of variceal haemorrhage 2 years previously, which had been controlled by oesophageal variceal banding. He continued to drink up to six standard alcoholic drinks per day. He had type 2 diabetes, for which he was taking metformin 500mg twice daily. He was also taking spironolactone 50mg/day.

Chapter.  1911 words.  Illustrated.

Subjects: Gastroenterology

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