Al-Busafi Said A, Ghali Peter, Wong Philip, Deschenes Marc
Hepatology Unit, Division of Gastroenterology, Royal Victoria Hospital, McGill University Health Center, Montreal, QC, Canada H3A 1A1.
Int J Hepatol. 2012;2012:747095. doi: 10.1155/2012/747095. Epub 2012 Jul 5.
Cirrhosis is the leading cause of portal hypertension worldwide, with the development of bleeding gastroesophageal varices being one of the most life-threatening consequences. Endoscopy plays an indispensible role in the diagnosis, staging, and prophylactic or active management of varices. With the expected future refinements in endoscopic technology, capsule endoscopy may one day replace traditional gastroscopy as a diagnostic modality, whereas endoscopic ultrasound may more precisely guide interventional therapy for gastric varices.
肝硬化是全球门静脉高压的主要原因,胃食管静脉曲张出血的发生是最危及生命的后果之一。内镜检查在静脉曲张的诊断、分期以及预防性或积极治疗中发挥着不可或缺的作用。随着内镜技术未来预期的改进,胶囊内镜可能有朝一日会取代传统胃镜成为一种诊断方式,而内镜超声可能会更精确地指导胃静脉曲张的介入治疗。