Poza Cordon Joaquin, Froilan Torres Consuelo, Burgos García Aurora, Gea Rodriguez Francisco, Suárez de Parga Jose Manuel
Joaquin Poza Cordon, Consuelo Froilan Torres, Aurora Burgos García, Francisco Gea Rodriguez, Jose Manuel Suárez de Parga, Hospital Universitario la Paz, 28046 Madrid, Spain.
World J Gastrointest Endosc. 2012 Jul 16;4(7):312-22. doi: 10.4253/wjge.v4.i7.312.
The rupture of gastric varices results in variceal hemorrhage, which is one the most lethal complications of cirrhosis. Endoscopic therapies for varices aim to reduce variceal wall tension by obliteration of the varix. The two principal methods available for esophageal varices are endoscopic sclerotherapy (EST) and band ligation (EBL). The advantages of EST are that it is cheap and easy to use, and the injection catheter fits through the working channel of a diagnostic gastroscope. Endoscopic variceal ligation obliterates varices by causing mechanical strangulation with rubber bands. The following review aims to describe the utility of EBL and EST in different situations, such as acute bleeding, primary and secondary prophylaxis.
胃静脉曲张破裂会导致曲张静脉出血，这是肝硬化最致命的并发症之一。静脉曲张的内镜治疗旨在通过消除曲张静脉来降低曲张静脉壁的张力。治疗食管静脉曲张的两种主要方法是内镜硬化治疗（EST）和套扎术（EBL）。EST的优点是价格便宜且易于使用，注射导管可通过诊断性胃镜的工作通道。内镜下静脉曲张套扎术通过用橡皮筋进行机械绞窄来消除曲张静脉。以下综述旨在描述EBL和EST在不同情况下的应用，如急性出血、一级和二级预防。
