Fouad Yasser, Alboraie Mohamed
Department of Gastroenterology and Endemic Medicine, Minia University, Minia 19111, Egypt.
Department of Internal Medicine, Al-Azhar University, Cairo 11451, Egypt.
World J Gastrointest Endosc. 2024 Mar 16;16(3):98-101. doi: 10.4253/wjge.v16.i3.98.
In this editorial we comment on the in-press article in the about the role of computed tomography (CT) for the prediction of esophageal variceal bleeding. The mortality and morbidity are much increased in patients with chronic liver diseases when complicated with variceal bleeding. Predicting the patient at a risk of bleeding is extremely important and receives a great deal of attention, paving the way for primary prophylaxis either using medical treatment including carvedilol or propranolol, or endoscopic band ligation. Endoscopic examination and the hepatic venous pressure gradient are the gold standards in the diagnosis and prediction of variceal bleeding. Several non-invasive laboratory and radiological examinations are used for the prediction of variceal bleeding. The contrast-enhanced multislice CT is a widely used non-invasive, radiological examination that has many advantages. In this editorial we briefly comment on the current research regarding the use of CT as a non-invasive tool in predicting the variceal bleeding.
在这篇社论中，我们对即将发表在《》上的一篇关于计算机断层扫描（CT）在预测食管静脉曲张出血方面作用的文章发表评论。慢性肝病患者并发静脉曲张出血时，死亡率和发病率会大幅增加。预测有出血风险的患者极为重要，且备受关注，这为使用包括卡维地洛或普萘洛尔在内的药物治疗或内镜下套扎术进行一级预防铺平了道路。内镜检查和肝静脉压力梯度是诊断和预测静脉曲张出血的金标准。几种非侵入性实验室和影像学检查用于预测静脉曲张出血。多层螺旋CT增强扫描是一种广泛应用的非侵入性影像学检查，具有诸多优势。在这篇社论中，我们简要评论一下目前关于使用CT作为预测静脉曲张出血的非侵入性工具的研究。
