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胃静脉曲张的最新情况。

Update on gastric varices.

作者信息

Triantafyllou Maria, Stanley Adrian J

机构信息

Maria Triantafyllou, Adrian J Stanley, Department of Gastroenterology, Glasgow Royal Infirmary, Glasgow, G4 OSF, United Kingdom.

出版信息

World J Gastrointest Endosc. 2014 May 16;6(5):168-75. doi: 10.4253/wjge.v6.i5.168.

DOI:10.4253/wjge.v6.i5.168
PMID:24891929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4024489/
Abstract

Although less common than oesophageal variceal haemorrhage, gastric variceal bleeding remains a serious complication of portal hypertension, with a high associated mortality. In this review we provide an update on the aetiology, classification and management of gastric varices, including acute bleeding, prevention of rebleeding and primary prophylaxis. We describe the optimum management strategies for gastric varices including drug, endoscopic and radiological therapies, focusing on recent published evidence.

摘要

尽管胃静脉曲张出血不如食管静脉曲张出血常见，但它仍是门静脉高压的一种严重并发症，死亡率很高。在本综述中，我们提供了关于胃静脉曲张的病因、分类和管理的最新信息，包括急性出血、再出血的预防和一级预防。我们描述了胃静脉曲张的最佳管理策略，包括药物、内镜和放射治疗，并重点关注最近发表的证据。

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Clin Mol Hepatol. 2012 Dec;18(4):368-74. doi: 10.3350/cmh.2012.18.4.368. Epub 2012 Dec 21.
2
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N Engl J Med. 2013 Jan 3;368(1):11-21. doi: 10.1056/NEJMoa1211801.
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