Qin X M, Guo H, Mei T L, Pan Y F, Xu X W
Department of Gastroenterology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China.
Zhonghua Er Ke Za Zhi. 2019 Jul 2;57(7):526-531. doi: 10.3760/cma.j.issn.0578-1310.2019.07.006.
To investigate the effect of the endoscopic selective varices devascularization (ESVD) for the esophageal gastric varices bleeding (EGVB) in children. The clinical data of the patients diagnosed with EGVB and treated with ESVD from January 2018 to March 2018 were retrospectively analyzed. The effects, safety and complications of ESVD were evaluated. There were five patients (including 2 males and 3 females, age ranged from 4 to 7 years) in the study. No rebleeding was found at the first follow-up on one week post operation. Three patients were treated with the endo-therapy at the twice follow-up (3 months after surgery): 2 patients had ESVD again and 1 patient had resection under endoscopy due to stenosis caused by surgical scar. After the second procedure, there was no rebleeding but one patient had abdominal pain caused by mesenteric thrombosis, cured with low molecular weight heparin. The ESVD for EGVB is safe and effective, but the long-term curative effect should be further studied.
探讨内镜下选择性静脉曲张断流术（ESVD）治疗儿童食管胃静脉曲张破裂出血（EGVB）的效果。回顾性分析2018年1月至2018年3月诊断为EGVB并接受ESVD治疗的患者的临床资料。评估ESVD的疗效、安全性及并发症。本研究共纳入5例患者（男2例，女3例，年龄4至7岁）。术后1周首次随访时未发现再出血。3例患者在二次随访（术后3个月）时接受了内镜治疗：2例再次行ESVD，1例因手术瘢痕狭窄接受内镜下切除术。第二次手术后未再出血，但有1例患者因肠系膜血栓形成出现腹痛，经低分子肝素治疗后治愈。ESVD治疗EGVB安全有效，但长期疗效有待进一步研究。
