Endoscopic management of esophagogastric varices in Japan

被引：35

作者：

Miyaaki, Hisamitsu ^{[1
]}

Ichikawa, Tatsuki ^{[1
]}

Taura, Naota ^{[1
]}

Miuma, Satoshi ^{[1
]}

Isomoto, Hajime ^{[1
]}

Nakao, Kazuhiko ^{[1
]}

机构：

[1] Nagasaki Univ, Grad Sch Biomed Sci, Dept Gastroenterol & Hepatol, 1-7-1 Sakamoto, Nagasaki 8528501, Japan

来源：

ANNALS OF TRANSLATIONAL MEDICINE | 2014年 / 2卷 / 05期

关键词：

Endoscopic management; esophagogastric varices; endoscopic injection sclerotherapy ( EIS); endoscopic variceal ligation (EVL);

D O I：

10.3978/j.issn.2305-5839.2014.05.02

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Esophagogastric varices are the most common complication in patients with portal hypertension, and endoscopy plays an important role in their diagnosis and in the prevention of acute bleeding from these structures. Recently, new modalities such as endoscopic ultrasonography (EUS) and narrow-band imaging have been introduced for the diagnosis of esophagogastric varices. In Japan, endoscopic therapy has become the first choice for the treatment of acutely bleeding esophageal or gastric varices. The two principal methods used to treat esophageal varices are endoscopic injection sclerotherapy (EIS) and endoscopic variceal ligation (EVL). Recently, combinations of EIS plus EVL and EVL plus argon plasma coagulation were reported to be more effective than EVL or EIS alone. Additionally, endoscopic cyanoacrylate injection is superior to EIS and EVL for the treatment of acutely bleeding gastric varices.

引用

页数：6

共 48 条

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