Murashima N
Department of Gastroenterology, Toranomon Hospital.
Nihon Rinsho. 1998 Sep;56(9):2276-80.
The method and its technical issues of endoscopic hemostasis for the upper gastro-intestinal bleeding were reviewed. Precise diagnosis of bleeding point by endoscopic observation has become almost perfect with the technological progress of endoscopy. For large veins such as esophagogastric varices, endoscopic sclerotherapy has achieved great success. For small protruded vessels such as small arteries, mechanical method like clipping or band-ligation has advantage. Chemical or physical coagulation is also very useful for hemostasis of small vessels. Combination of two or three methods is sometimes effective in complicated patients. Endoscopic hemostasis is now golden standard for gastrointestinal hemorrhage.
本文综述了上消化道出血的内镜止血方法及其技术问题。随着内镜技术的进步，通过内镜观察对出血点进行精确诊断已近乎完美。对于诸如食管胃静脉曲张等大静脉，内镜硬化疗法已取得巨大成功。对于诸如小动脉等小的突出血管，诸如钳夹或套扎等机械方法具有优势。化学或物理凝血对于小血管止血也非常有用。在复杂病例中，两种或三种方法联合使用有时会有效。内镜止血目前是胃肠道出血的金标准。
