胃食管静脉曲张的预防和处理。
Prevention and management of gastroesophageal varices.
机构信息
Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
出版信息
Clin Mol Hepatol. 2018 Mar;24(1):20-42. doi: 10.3350/cmh.2017.0064. Epub 2017 Dec 18.
Abstract
Bleeding from gastroesophageal varices is a serious complication in patients with liver cirrhosis and portal hypertension. Although there has been significance improvement in the prognosis of variceal bleeding with advancement in diagnostic and therapeutic modalities for its management, mortality rate still remains high. Therefore, appropriate prevention and rapid, effective management of bleeding from gastroesophageal varices is very important. Recently, various studies about management of gastoesophageal varices, including prevention of development and aggravation of varices, prevention of first variceal bleeding, management of acute variceal bleeding, and prevention of variceal rebleeding, have been published. The present article reviews published articles and practice guidelines to present the most optimal management of patients with gastroesophageal varices.
摘要
胃食管静脉曲张出血是肝硬化和门静脉高压患者的严重并发症。尽管随着诊断和治疗方法的进步，静脉曲张出血的预后有了显著改善，但死亡率仍然很高。因此，适当的预防和快速、有效的胃食管静脉曲张出血管理非常重要。最近，关于胃食管静脉曲张的各种管理研究，包括预防静脉曲张的发展和加重、预防首次静脉曲张出血、急性静脉曲张出血的管理以及预防静脉曲张再出血，已经发表。本文综述了已发表的文章和实践指南，以提供胃食管静脉曲张患者的最佳管理方案。
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