Vine Louisa J, Subhani Mohsan, Acevedo Juan G
South West Liver Unit, University Hospitals Plymouth NHS Trust, Plymouth, PL68DH, United Kingdom.
World J Hepatol. 2019 Mar 27;11(3):250-260. doi: 10.4254/wjh.v11.i3.250.
Gastric varices (GV) have different physiology and clinical characteristics compared to oesophageal varices (OV). There is little information about the management of GV. Most part of the recommendations is extrapolated from studies where the majority of participants had OV. Thus, most recommendations lack of strong evidence. This is a comprehensive review on all aspects of management of GV, ., primary, secondary prophylaxis and management of acute bleeding. The papers on which international societies' recommendations are based are scrutinised in this review and areas of research are identified.
胃静脉曲张(GV)与食管静脉曲张(OV)相比,具有不同的生理和临床特征。关于GV的管理信息很少。大多数建议是从大多数参与者患有OV的研究中推断出来的。因此,大多数建议缺乏有力证据。这是一篇关于GV管理各方面的全面综述,即一级预防、二级预防和急性出血的管理。本综述对国际协会建议所依据的论文进行了审查,并确定了研究领域。