Zheng X D, Liu Y F, Onda M, Tajiri T, Umehara M, Tei J, Yamashita K, Kim D Y, Adachi M, Yoshida H
Nihon Ika Daigaku Zasshi. 1989 Jun;56(3):294-303. doi: 10.1272/jnms1923.56.294.
Between February 1984 and September 1987, endoscopic embolization (EE) was performed in 26 patients with esophageal varices. The effects of EE were evaluated with endoscopic findings according to the general rules for recording endoscopic findings on esophageal varices as specified by the Japanese Research Society for Portal Hypertension. 1) When the result was regarded as effective if a patient had Cw, F1, R-C sign (-), Li and Lm or disappearance of varices, the improvement was found in 66.7% for Color, 79.2% for R-C sign, 54.2% for Form and 45.8% for Location after EE. 2) Recurrence of varices was found in 50% of the patients (12/24) and 4 of 12 cases (33.3%) had rebleeding. 3) When the endoscopic findings before and after EE were compared between relapsed and unrelapsed cases, relapsed patients had more unfavorable endoscopic findings, furthermore, the extent of improvements was also worse than that of unrelapsed cases. 4) As complications, slight fever, dysphagia and epigastric pain were found in most cases, however, all were cured conservatively. In conclusion, EE is useful and safety tool for the improvement of endoscopic findings of the patients with esophageal varices.
1984年2月至1987年9月期间，对26例食管静脉曲张患者实施了内镜下栓塞术（EE）。根据日本门静脉高压研究学会规定的食管静脉曲张内镜检查结果记录通则，通过内镜检查结果评估EE的效果。1）若患者出现Cw、F1、R - C征（-）、Li和Lm或静脉曲张消失，则结果视为有效，EE术后Color改善率为66.7%，R - C征改善率为79.2%，Form改善率为54.2%，Location改善率为45.8%。2）50%的患者（12/24）出现静脉曲张复发，其中12例中有4例（33.3%）再次出血。3）比较复发和未复发病例EE前后的内镜检查结果，复发患者的内镜检查结果更不理想，而且改善程度也比未复发病例差。4）作为并发症，大多数病例出现轻微发热、吞咽困难和上腹部疼痛，但均经保守治疗治愈。总之，EE是改善食管静脉曲张患者内镜检查结果的一种有用且安全的手段。
