Nett Andrew, Binmoeller Kenneth F
Interventional Endoscopy Services, California Pacific Medical Center, 2351 Clay Street, 6th Floor Suite 600, San Francisco, CA 94115, USA.
Interventional Endoscopy Services, California Pacific Medical Center, 2351 Clay Street, 6th Floor Suite 600, San Francisco, CA 94115, USA.
Gastrointest Endosc Clin N Am. 2019 Apr;29(2):321-337. doi: 10.1016/j.giec.2018.12.006.
Gastrointestinal bleeding as a sequela of portal hypertension can be catastrophic and fatal. Endoscopic and endosonographic therapy play a critical role in management of such bleeding- both for hemostasis of active bleeding and bleeding prophylaxis. Variceal band ligation is established as the standard intervention for esophageal varices. For other sources of portal hypertension-related bleeding, or for salvage therapy for esophageal varices, a variety of endoscopic techniques are available. Endoscopic ultrasound may be used to enhance endoscopic management, particularly for gastric and ectopic varices.
作为门静脉高压后遗症的胃肠道出血可能是灾难性的且会致命。内镜和内镜超声治疗在这类出血的管理中起着关键作用——既用于活动性出血的止血，也用于预防出血。套扎术已成为食管静脉曲张的标准干预措施。对于门静脉高压相关出血的其他来源，或用于食管静脉曲张的挽救治疗，有多种内镜技术可供选择。内镜超声可用于加强内镜管理，特别是对于胃静脉曲张和异位静脉曲张。
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