Hashizume M, Kitano S, Yamaga H, Koyanagi N, Sugimachi K
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Gastrointest Endosc. 1990 May-Jun;36(3):276-80. doi: 10.1016/s0016-5107(90)71023-1.
Endoscopic observations of gastric varices in 124 patients were classified according to form, location, and color. Form was classified into three types: tortuous (F1), nodular (F2), and tumorous (F3). Location was classified into five types: anterior (La), posterior (Lp), lesser (Ll) and greater curvature (Lg) of the cardia, and fundic area (Lf). Color was white (Cw) or red (Cr). Glossy, thin-walled focal redness on the varix was defined as red color spot (RC spot). Stepwise logistic regression analysis for multivariate adjustments was performed for all of the endoscopic covariates, and four risk factors (La, Lg, F2, RC spot) that affect bleeding from gastric varices were independently identified. This classification should aid in assessing gastric varices observed by fiberoptic endoscopy and help design appropriate treatment.
对124例患者的胃静脉曲张进行内镜观察，并根据形态、位置和颜色进行分类。形态分为三种类型：迂曲型（F1）、结节型（F2）和肿瘤型（F3）。位置分为五种类型：贲门的前壁（La）、后壁（Lp）、小弯（Ll）和大弯（Lg）以及胃底部（Lf）。颜色为白色（Cw）或红色（Cr）。静脉曲张上有光泽、薄壁的局灶性发红被定义为红色斑（RC斑）。对所有内镜协变量进行多变量调整的逐步逻辑回归分析，独立确定了影响胃静脉曲张出血的四个危险因素（La、Lg、F2、RC斑）。这种分类有助于评估纤维内镜观察到的胃静脉曲张，并有助于设计适当的治疗方案。
