Tjwa Eric T T L, Holster I Lisanne, Kuipers Ernst J
Department of Gastroenterology and Hepatology, Erasmus MC University Medical Centre, PO box 2040, 3000 CA, Rotterdam, The Netherlands.
Department of Gastroenterology and Hepatology, Erasmus MC University Medical Centre, PO box 2040, 3000 CA, Rotterdam, The Netherlands.
Gastroenterol Clin North Am. 2014 Dec;43(4):707-19. doi: 10.1016/j.gtc.2014.08.004. Epub 2014 Sep 12.
Upper gastrointestinal bleeding (UGIB) is the most common emergency condition in gastroenterology. Although peptic ulcer and esophagogastric varices are the predominant causes, other conditions account for up to 50% of UGIBs. These conditions, among others, include angiodysplasia, Dieulafoy and Mallory-Weiss lesions, gastric antral vascular ectasia, and Cameron lesions. Upper GI cancer as well as lesions of the biliary tract and pancreas may also result in severe UGIB. This article provides an overview of the endoscopic management of these lesions, including the role of novel therapeutic modalities such as hemostatic powder and over-the-scope-clips.
上消化道出血（UGIB）是胃肠病学中最常见的急症。尽管消化性溃疡和食管胃静脉曲张是主要病因，但其他病症在UGIB病因中占比高达50%。这些病症包括血管发育异常、Dieulafoy病和Mallory-Weiss损伤、胃窦血管扩张症以及Cameron病变等。上消化道癌症以及胆道和胰腺病变也可能导致严重的UGIB。本文概述了这些病变的内镜治疗，包括止血粉和套扎器等新型治疗方式的作用。
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