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本文引用的文献

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Clinical outcomes of balloon-occluded retrograde transvenous obliteration for the treatment of gastric variceal hemorrhage in Korean patients with liver cirrhosis: a retrospective multicenter study.经皮球囊阻断逆行静脉栓塞术治疗韩国肝硬化胃静脉曲张出血的临床疗效：一项回顾性多中心研究。
Clin Mol Hepatol. 2012 Dec;18(4):368-74. doi: 10.3350/cmh.2012.18.4.368. Epub 2012 Dec 21.
2
Transfusion strategies for acute upper gastrointestinal bleeding.急性上消化道出血的输血策略。
N Engl J Med. 2013 Jan 3;368(1):11-21. doi: 10.1056/NEJMoa1211801.
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Human thrombin for the treatment of gastric and ectopic varices.人凝血酶治疗胃和异位静脉曲张。
World J Gastroenterol. 2012 Nov 7;18(41):5912-7. doi: 10.3748/wjg.v18.i41.5912.
4
Transjugular Intrahepatic Portosystemic Shunt (TIPS) versus Balloon-occluded Retrograde Transvenous Obliteration (BRTO) for the Management of Gastric Varices.经颈静脉肝内门体分流术（TIPS）与球囊闭塞逆行静脉栓塞术（BRTO）治疗胃静脉曲张的比较
Semin Intervent Radiol. 2011 Sep;28(3):339-49. doi: 10.1055/s-0031-1284461.
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Medical and endoscopic management of gastric varices.胃静脉曲张的医学与内镜治疗
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Management of acute upper gastrointestinal bleeding: summary of NICE guidance.急性上消化道出血的管理：英国国家卫生与临床优化研究所指南总结
BMJ. 2012 Jun 13;344:e3412. doi: 10.1136/bmj.e3412.
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Efficacy of non-selective β-blockers as adjunct to endoscopic prophylactic treatment for gastric variceal bleeding: a randomized controlled trial.非选择性β受体阻滞剂辅助内镜预防性治疗胃静脉曲张出血的疗效：一项随机对照试验。
J Hepatol. 2012 May;56(5):1025-1032. doi: 10.1016/j.jhep.2011.12.021. Epub 2012 Jan 17.
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EUS-guided transesophageal treatment of gastric fundal varices with combined coiling and cyanoacrylate glue injection (with videos).超声内镜引导下经食管胃底静脉曲张联合弹簧圈和氰基丙烯酸酯胶注射治疗（附视频）。
Gastrointest Endosc. 2011 Nov;74(5):1019-25. doi: 10.1016/j.gie.2011.06.030. Epub 2011 Sep 1.
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Long-term result of endoscopic Histoacryl (N-butyl-2-cyanoacrylate) injection for treatment of gastric varices.内镜下Histoacryl（N-丁基-2-氰基丙烯酸酯）注射治疗胃静脉曲张的长期结果。
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Primary prophylaxis of gastric variceal bleeding comparing cyanoacrylate injection and beta-blockers: a randomized controlled trial.氰基丙烯酸酯注射与β受体阻滞剂预防胃静脉曲张出血的一级预防：一项随机对照试验。
J Hepatol. 2011 Jun;54(6):1161-7. doi: 10.1016/j.jhep.2010.09.031. Epub 2010 Nov 5.

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。