临床肝胆病杂志2017，Vol.33Issue(3)：454-457,4.DOI:10.3969/j.issn.1001-5256.2017.03.011
肝硬化食管胃底静脉曲张的内镜诊断治疗——从指南到临床实践
Endoscopic diagnosis and treatment of esophageal and gastric varices in patients with liver cirrhosis: from guidelines to clinical practice
摘要
Abstract
Gastroesophageal variceal bleeding in patients with liver cirrhosis is a common acute gastrointestinal disease in clinical practice with a high mortality rate,and endoscopy is a main method for the diagnosis and treatment of this disease.Timely diagnosis and effective treatment with appropriate endoscopic techniques are the key to reducing mortality rate.With reference to related diagnosis and treatment guidelines and the latest clinical evidence for cirrhotic portal hypertension in China,this article summarizes the role of endoscopy in the diagnosis and treatment of esophageal and gastric varices and bleeding in patients with liver cirrhosis,including endoscopic screening and timing of treatment,selection of endoscopic sclerosing agents and endoscopic variceal ligation,salvage measures for endoscopic treatment failure,and complications and related treatment measures.Hepatic venous pressure gradient helps to improve the effect of endoscopy and/or drugs in the prevention and treatment of gastroesophageal variceal bleeding in patients with liver cirrhosis.In a word,endoscopy is the main method for the diagnosis and treatment of gastroesophageal variceal bleeding in patients with liver cirrhosis,and the research and application of factors for early prediction of the effect of endoscopic therapy and standardization of endoscopic diagnosis and treatment techniques are of great significance in improving the effect and safety of endoscopic therapy.关键词
肝硬化/食管和胃静脉曲张/内窥镜检查/诊断/治疗Key words
liver cirrhosis/esophageal and gastric varices/endoscopy/diagnosis/therapy分类
医药卫生引用本文复制引用
丁惠国,张世斌,李磊,李鹏,张月宁,王贞彪..肝硬化食管胃底静脉曲张的内镜诊断治疗——从指南到临床实践[J].临床肝胆病杂志,2017,33(3):454-457,4.基金项目
北京市医院管理局感染消化内科重点专业(ZYLX201610) （ZYLX201610）
登峰人才团队培养计划(DFL20151602) （DFL20151602）
