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内镜下静脉曲张结扎术因组织胶栓子导致食管静脉曲张破裂而引起大量出血。

Endoscopic variceal ligation caused massive bleeding due to laceration of an esophageal varicose vein with tissue glue emboli.

作者信息

Wei Xiu-Qing, Gu Hua-Ying, Wu Zhi-E, Miao Hui-Biao, Wang Pei-Qi, Wen Zhuo-Fu, Wu Bin

机构信息

Xiu-Qing Wei, Hua-Ying Gu, Zhi-E Wu, Hui-Biao Miao, Pei-Qi Wang, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.

出版信息

World J Gastroenterol. 2014 Nov 14;20(42):15937-40. doi: 10.3748/wjg.v20.i42.15937.

DOI:10.3748/wjg.v20.i42.15937
PMID:25400482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4229563/
Abstract

Endoscopic variceal obturation of gastric varices with tissue glue is considered the first choice for management of gastric varices, and is usually safe and effective. However, there is still a low incidence of complications and some are even fatal. Here, we present a case in which endoscopic variceal ligation caused laceration of the esophageal varicose vein with tissue glue emboli and massive bleeding after 3 mo. Cessation of bleeding was achieved via variceal sclerotherapy using a cap-fitted gastroscope. Methods of recognizing an esophageal varicose vein with tissue glue plug are discussed.

摘要

内镜下用组织胶闭塞胃静脉曲张被认为是胃静脉曲张治疗的首选方法，通常安全有效。然而，并发症的发生率仍然较低，有些甚至是致命的。在此，我们报告一例内镜下静脉曲张结扎术导致食管曲张静脉撕裂并伴有组织胶栓子形成，3个月后出现大量出血的病例。通过使用带帽胃镜进行曲张静脉硬化疗法实现了止血。文中还讨论了识别伴有组织胶栓塞的食管曲张静脉的方法。

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Dig Endosc. 2012 May;24(3):192. doi: 10.1111/j.1443-1661.2011.01185.x.
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Endoscopic ultrasound-guided treatment of bleeding duodenal varix.内镜超声引导下治疗十二指肠静脉曲张出血
Indian J Gastroenterol. 2011 Dec;30(6):280-1. doi: 10.1007/s12664-011-0139-z. Epub 2011 Nov 9.
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Clin Gastroenterol Hepatol. 2010 Sep;8(9):760-6. doi: 10.1016/j.cgh.2010.05.019. Epub 2010 May 31.
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Acrylate glue injection for acutely bleeding oesophageal varices: A prospective cohort study.丙烯酸酯胶水注射治疗急性出血性食管静脉曲张：一项前瞻性队列研究。
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