Horsley-Silva Jennifer L, Vargas Hugo E
Division of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, AZ, USA.
Expert Rev Gastroenterol Hepatol. 2015 Jul;9(7):1005-13. doi: 10.1586/17474124.2015.1044978. Epub 2015 May 12.
As advances in liver disease continue, including the increasing use of liver transplantation, the endoscopist needs to be familiar with the standards of care and potential complications in the management of the cirrhotic population. This includes both elective endoscopic procedures, such as screening colonoscopies and variceal banding, as well as the acutely bleeding cirrhotic patient. Peri-procedural management and standards of care for acute gastrointestinal hemorrhaging of cirrhotic patients will be emphasized. This article will focus on the plethora of data available to highlight the benefits of endoscopic intervention in the care of patients with liver disease and outline the areas of future emphasis.
随着肝病研究的不断进展，包括肝移植的日益普及，内镜医师需要熟悉肝硬化患者管理中的护理标准和潜在并发症。这既包括择期内镜手术，如结肠镜筛查和静脉曲张套扎术，也包括肝硬化急性出血患者。本文将重点强调肝硬化患者急性胃肠道出血的围手术期管理和护理标准。本文将着重介绍大量现有数据，以突出内镜干预在肝病患者护理中的益处，并概述未来重点关注的领域。
