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内镜超声在食管胃静脉曲张中的应用价值

Usefulness of endoscopic ultrasound in esophagogastric varices.

作者信息

Shim Jae-Jun

机构信息

Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.

出版信息

Clin Endosc. 2012 Sep;45(3):324-7. doi: 10.5946/ce.2012.45.3.324. Epub 2012 Aug 22.

DOI:10.5946/ce.2012.45.3.324
PMID:22977828
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3429762/
Abstract

Endoscopic ultrasound (EUS) is a useful diagnostic tool for evaluation of esophagogastric varices and guidance of endoscopic therapy. EUS can visualize not only collateral veins around the esophagus but also perforating veins that connect esophageal varices with collateral veins. They are associated with high risk of bleeding and early recurrence after initial variceal eradication. Isolated gastric varices can be easily diagnosed using EUS that mimic thickened gastric folds or subepithelial tumors. EUS-guided endoscopic therapy is a challenging field of variceal bleeding. It has a potential role for assistance of interventions and evaluation of treatment outcome.

摘要

内镜超声（EUS）是评估食管胃静脉曲张及指导内镜治疗的一种有用的诊断工具。EUS不仅可以观察食管周围的侧支静脉，还能观察连接食管静脉曲张与侧支静脉的穿支静脉。它们与初次静脉曲张根除术后的高出血风险及早期复发有关。孤立性胃静脉曲张使用EUS很容易诊断，其表现类似增厚的胃皱襞或上皮下肿瘤。EUS引导下的内镜治疗是静脉曲张出血治疗中一个具有挑战性的领域。它在辅助干预措施及评估治疗效果方面具有潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/035c/3429762/a762a66a441f/ce-45-324-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/035c/3429762/c079765b4cad/ce-45-324-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/035c/3429762/03dc626ed057/ce-45-324-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/035c/3429762/a762a66a441f/ce-45-324-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/035c/3429762/c079765b4cad/ce-45-324-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/035c/3429762/03dc626ed057/ce-45-324-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/035c/3429762/a762a66a441f/ce-45-324-g003.jpg

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本文引用的文献

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Gastrointest Endosc. 2011 Nov;74(5):1019-25. doi: 10.1016/j.gie.2011.06.030. Epub 2011 Sep 1.
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Endoscopic ultrasonographic evaluation of hemodynamics related to variceal relapse in esophageal variceal patients.内镜超声评价与食管静脉曲张患者静脉曲张再发相关的血流动力学。
Hepatol Res. 2009 Feb;39(2):126-33. doi: 10.1111/j.1872-034X.2008.00415.x.
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EUS for portal hypertension: a comprehensive and critical appraisal of clinical and experimental indications.
内镜超声在肝脏疾病中的作用：2017年我们处于什么水平？
World J Hepatol. 2017 Aug 28;9(24):1013-1021. doi: 10.4254/wjh.v9.i24.1013.
内镜超声在门静脉高压症中的应用：对临床及实验指征的全面批判性评估
Endoscopy. 2008 Aug;40(8):690-6. doi: 10.1055/s-2008-1077400. Epub 2008 Jul 7.
4
Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis.肝硬化患者食管胃静脉曲张及曲张静脉出血的预防与管理
Hepatology. 2007 Sep;46(3):922-38. doi: 10.1002/hep.21907.
5
Treatment of esophageal varices: a randomized controlled trial comparing endoscopic sclerotherapy and EUS-guided sclerotherapy of esophageal collateral veins.食管静脉曲张的治疗：一项比较内镜下硬化疗法与超声内镜引导下食管侧支静脉硬化疗法的随机对照试验。
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6
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