中国临床医学2024，Vol.31Issue(3)：343-346,4.DOI:10.12025/j.issn.1008-6358.2024.20240605
内镜技术在门静脉高压中的应用展望
Perspective in endoscopic technology in the management of patients with portal hypertension
摘要
Abstract
Endoscopic ligation,sclerotherapy and injection of tissue glue combined with medicine treatment have replaced surgical shunt and devascularization as the first-line treatment recommended by guidelines for esophagogastric variceal bleeding in patients with cirrhosis and portal hypertension.However,some of the variceal bleeding induced by non-cirrhotic portal hypertension.Comorbidities such as diabetes,portal vein thrombosis,liver tumors,and hepatic artery-portal vein fistulas have reduced the efficacy of endoscopic treatment,and have increased the rate of complication such as ectopic embolism.Traditional endoscopic techniques are facing substantial challenges.The urgent needs for precise injection techniques,complete variceal obliteration,and the prevention of ectopic embolism have become apparent.The era of precision medicine in variceal endoscopic treatment has been ushered in by advancements such as preoperative assessments using computed tomography(CT)and ultrasound endoscopy,ultrasound-guided tissue glue injection with spring coil assistance,and immediate postoperative ultrasound endoscopic evaluation.This progress is anticipated to overcome the diagnostic and therapeutic limitations associated with non-cirrhotic portal hypertension.Integrating CT imaging virtual simulation and other technological innovations,to surpass conventional interventional techniques,is helpful of achieving a comprehensive endoscopic approach to the diagnosis and treatment of portal hypertension.关键词
门静脉高压/肝硬化/内镜治疗/食管胃静脉曲张/超声内镜Key words
portal hypertension/cirrhosis/endoscopic treatment/esophagogastric varices/ultrasound endoscopy分类
医药卫生引用本文复制引用
黄晓铨,陈世耀..内镜技术在门静脉高压中的应用展望[J].中国临床医学,2024,31(3):343-346,4.基金项目
上海市科委医学创新研究专项(22Y11907400).Supported by Medical Innovation Research Project of Shanghai Science and Technology Commission(22Y11907400). （22Y11907400）
