胃静脉曲张出血的管理：内镜检查和内镜超声的作用
Management of gastric variceal bleeding: Role of endoscopy and endoscopic ultrasound.
作者信息
Girotra Mohit, Raghavapuram Saikiran, Abraham Rtika R, Pahwa Mrinal, Pahwa Archna R, Rego Rayburn F
机构信息
Mohit Girotra, Rayburn F Rego, Division of Gastroenterology and Hepatology, Department of Medicine, University of Arkansas for Medical Sciences (UAMS), Little Rock, AR 72202, United States.
出版信息
World J Hepatol. 2014 Mar 27;6(3):130-6. doi: 10.4254/wjh.v6.i3.130.
Abstract
Gastric varices (GVs) are notorious to bleed massively and often difficult to manage with conventional techniques. This mini-review addresses endoscopic management principles for gastric variceal bleeding, including limitations of ligation and sclerotherapy and merits of endoscopic variceal obliteration. The article also discusses how emerging use of endoscopic ultrasound provides optimism of better diagnosis, improved classification, innovative management strategies and confirmatory tool for eradication of GVs.
摘要
胃静脉曲张（GVs）容易大量出血，采用传统技术往往难以处理。这篇小型综述阐述了胃静脉曲张出血的内镜治疗原则，包括结扎和硬化疗法的局限性以及内镜下静脉曲张闭塞术的优点。本文还讨论了内镜超声的新应用如何为更好的诊断、改进分类、创新治疗策略以及确认胃静脉曲张根除提供了希望。
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