Koyanagi N
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Jpn J Surg. 1988 Mar;18(2):142-5. doi: 10.1007/BF02471422.
Up until now, the endoscopic findings related to hemorrhage from esophageal varices have been red color signs (RCS) and the fundamental bluish color (Cb) of the varices. Although most investigators agree with the former, there is considerable dispute regarding the latter "blue varices". In order to identify the "risky" type of blue varices, prognostic varices (P-Cb) were specifically defined as being featured by a fully expanded appearance with a glossy surface, like an over-inflated balloon. Three hundred and nineteen collected patients with esophageal varices, including 114 bleeders, were retrospectively assessed and the P-Cb was found to have a significant correlation to the bleeding history. The P-Cb should be taken into account when attempting to predict bleeding of blue varices. The general rules for recording endoscopic findings of esophageal varices, as determined in 1980, should thus be amended.
到目前为止，与食管静脉曲张出血相关的内镜检查结果一直是红色征（RCS）以及静脉曲张的基本蓝色（Cb）。尽管大多数研究者认同前者，但对于后者“蓝色静脉曲张”存在相当大的争议。为了识别蓝色静脉曲张的“危险”类型，预后性静脉曲张（P-Cb）被特别定义为具有完全扩张的外观且表面光滑，就像过度充气的气球。对收集到的319例食管静脉曲张患者（包括114例出血患者）进行回顾性评估，发现P-Cb与出血史有显著相关性。在试图预测蓝色静脉曲张出血时应考虑P-Cb。因此，1980年确定的食管静脉曲张内镜检查结果记录的一般规则应予以修订。
