Lo Gin-Ho
Division of Gastroenterology, Department of Medical Research, E-DA Hospital, Kaohsiung, Taiwan.
Clin Endosc. 2019 Jan;52(1):36-39. doi: 10.5946/ce.2018.084. Epub 2019 Jan 22.
Vasoconstrictors are often used as the first line therapy for acute esophageal variceal hemorrhage. They might also be used for a few days after endoscopic therapy to prevent early rebleeding. International guidelines recommend the use of vasoconstrictor therapy when acute esophageal variceal hemorrhage is suspected and continuation of the therapy until 3 to 5 days after endoscopic treatment. However, the duration of use of vasoconstrictors after endoscopic therapy is not clear. This review shows that if variceal bleeding is successfully controlled by endoscopic variceal ligation, the combination of vasoconstrictors can be reduced to less than 1 day.
血管收缩剂常被用作急性食管静脉曲张出血的一线治疗方法。它们也可能在内镜治疗后的几天内使用，以预防早期再出血。国际指南建议，当怀疑有急性食管静脉曲张出血时使用血管收缩剂治疗，并持续该治疗直至内镜治疗后3至5天。然而，内镜治疗后血管收缩剂的使用持续时间尚不清楚。本综述表明，如果内镜下静脉曲张套扎术成功控制了静脉曲张出血，血管收缩剂的联合使用时间可减至不到1天。
