PO-CHU LEECHIAO LOKo, Wen-JeWen-JeKoHuang, Sheng-JeanSheng-JeanHuangPO-HUANG LEE2020-11-192020-11-1920141049-9091https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899932182&doi=10.1177%2f1049909113495707&partnerID=40&md5=fcbbcace698c3b6ee0ab994e279f5ad9https://scholars.lib.ntu.edu.tw/handle/123456789/521245We analyzed one case of end-stage liver disease and discussed whether the palliative care should be considered for this case. The medical record of a 56-year-old woman with alcoholic liver cirrhosis admitted to our hospital due to hypovolemic shock and esophageal varices (EV) was reviewed. 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. ? The Author(s) 2013.enchronic liver diseasechronic renal diseaseend-stage diseasehospice carepalliative caresurgery[SDGs]SDG3case report; complication; end stage liver disease; Esophageal and Gastric Varices; esophagoscopy; fatality; female; hospice care; human; middle aged; palliative therapy; shock; Taiwan; End Stage Liver Disease; Esophageal and Gastric Varices; Esophagoscopy; Fatal Outcome; Female; Hospice Care; Humans; Middle Aged; Palliative Care; Shock; Taiwanjournal article10.1177/1049909113495707238615432-s2.0-84899932182