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综述文章:胃窦血管扩张症的当前治疗选择

Review article: current therapeutic options for gastric antral vascular ectasia.

作者信息

Sebastian S, O'Morain C A, Buckley M J M

机构信息

Department of Gastroenterology, Adelaide and Meath Hospital, Trinity College, Dublin, Ireland.

出版信息

Aliment Pharmacol Ther. 2003 Jul 15;18(2):157-65. doi: 10.1046/j.1365-2036.2003.01617.x.

DOI:10.1046/j.1365-2036.2003.01617.x
PMID:12869075
Abstract

Gastric antral vascular ectasia, or 'watermelon stomach', is a rare but important cause of gastrointestinal blood loss and anaemia, which has characteristic endoscopic and histological features. The pathogenesis of this condition remains unclear; however, many associated disorders have been documented. Various medical, surgical and endoscopic therapeutic modalities have been attempted with variable success. Leading contenders for the therapeutic modality of choice include hormonal therapy, endoscopic Nd:YAG laser and argon plasma coagulation. Randomized controlled trials to identify the ideal treatment method are lacking at present.

摘要

胃窦血管扩张症,即“西瓜胃”,是胃肠道失血和贫血的一种罕见但重要的病因,具有特征性的内镜和组织学表现。这种病症的发病机制尚不清楚;然而,许多相关疾病已被记录。人们尝试了各种药物、手术和内镜治疗方式,效果各异。治疗方式的主要候选方法包括激素治疗、内镜钕钇铝石榴石激光和氩离子凝固术。目前缺乏确定理想治疗方法的随机对照试验。

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