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非静脉曲张性上消化道出血内镜止血的进展

Advancements in endoscopic hemostasis for non-variceal upper gastrointestinal bleeding.

作者信息

Li Xue Jing, Fung Brian M

机构信息

Department of Gastroenterology and Hepatology, Banner-University Medical Center Phoenix, Phoenix, AZ 85006, United States.

Department of Gastroenterology, Arizona Digestive Health, Mesa, AZ 85210, United States.

出版信息

World J Gastrointest Endosc. 2024 Jul 16;16(7):376-384. doi: 10.4253/wjge.v16.i7.376.

DOI:10.4253/wjge.v16.i7.376
PMID:39072248
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11271718/
Abstract

Non-variceal upper gastrointestinal (GI) bleeding is a significant cause of morbidity and mortality. Traditionally, through-the-scope (TTS) clips, thermal therapy, and injection therapies are used to treat GI bleeding. In this review, we provide an overview of novel endoscopic treatments that can be used to achieve hemostasis. Specifically, we discuss the efficacy and applicability of over-the-scope clips, hemostatic agents, TTS doppler ultrasound, and endoscopic ultrasound, each of which offer an effective method of reducing rates of GI rebleeding.

摘要

非静脉曲张性上消化道(GI)出血是发病和死亡的重要原因。传统上,经内镜夹闭术(TTS)、热疗和注射疗法用于治疗胃肠道出血。在本综述中,我们概述了可用于实现止血的新型内镜治疗方法。具体而言,我们讨论了套扎夹、止血剂、经内镜多普勒超声和内镜超声的疗效和适用性,每一种都提供了一种有效降低胃肠道再出血率的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e13/11271718/2e604c6c539c/WJGE-16-376-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e13/11271718/d669adef4972/WJGE-16-376-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e13/11271718/dfa06d976593/WJGE-16-376-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e13/11271718/f8e1b93afd24/WJGE-16-376-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e13/11271718/2e604c6c539c/WJGE-16-376-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e13/11271718/d669adef4972/WJGE-16-376-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e13/11271718/dfa06d976593/WJGE-16-376-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e13/11271718/f8e1b93afd24/WJGE-16-376-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e13/11271718/2e604c6c539c/WJGE-16-376-g004.jpg

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本文引用的文献

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Hemostatic powders and gels in gastrointestinal endoscopy: current perspective and future recommendations.胃肠道内镜检查中的止血粉和凝胶:当前观点与未来建议
Expert Rev Gastroenterol Hepatol. 2023 Jul-Dec;17(11):1061-1065. doi: 10.1080/17474124.2023.2274913. Epub 2023 Nov 23.
2
Topical hemostatic agents in the management of upper gastrointestinal bleeding: a meta-analysis.局部止血剂在上消化道出血治疗中的应用:一项荟萃分析。
Endosc Int Open. 2023 Apr 24;11(4):E368-E385. doi: 10.1055/a-1984-6895. eCollection 2023 Apr.
3
An update on the management of non-variceal upper gastrointestinal bleeding.
非静脉曲张性上消化道出血的管理最新进展
Gastroenterol Rep (Oxf). 2023 Mar 20;11:goad011. doi: 10.1093/gastro/goad011. eCollection 2023.
4
Over-the-Scope Clips Versus Standard Endoscopic Treatment for First Line Therapy of Non-variceal Upper Gastrointestinal Bleeding: Systematic Review and Meta-Analysis.用于非静脉曲张性上消化道出血一线治疗的内镜下套扎夹与标准内镜治疗:系统评价与Meta分析
Dig Dis Sci. 2023 Jun;68(6):2518-2530. doi: 10.1007/s10620-023-07888-3. Epub 2023 Mar 21.
5
Hemostatic Powders in Non-Variceal Upper Gastrointestinal Bleeding: The Open Questions.非静脉曲张性上消化道出血中的止血粉:悬而未决的问题。
Medicina (Kaunas). 2023 Jan 11;59(1):143. doi: 10.3390/medicina59010143.
6
Safety and efficacy of over-the-scope clips versus standard therapy for high-risk nonvariceal upper GI bleeding: systematic review and meta-analysis.内镜套扎夹与标准疗法治疗高危非静脉曲张性上消化道出血的安全性和有效性:系统评价与荟萃分析
Gastrointest Endosc. 2022 Nov;96(5):712-720.e7. doi: 10.1016/j.gie.2022.06.032. Epub 2022 Jul 5.
7
EUS-guided therapy of nonvariceal refractory bleeding: A prospective observational study.超声内镜引导下非静脉曲张性难治性出血的治疗:一项前瞻性观察研究。
Endosc Ultrasound. 2022 Jul-Aug;11(4):336-337. doi: 10.4103/EUS-D-21-00169.
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Dig Endosc. 2023 Jan;35(1):4-18. doi: 10.1111/den.14356. Epub 2022 Aug 29.
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