中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 37 Issue 12
Dec.  2021
Turn off MathJax
Article Contents

Esophageal and gastric variceal bleeding in liver cirrhosis: Embolization or shunt

DOI: 10.3969/j.issn.1001-5256.2021.12.004
  • Received Date: 2021-08-05
  • Accepted Date: 2020-08-31
  • Published Date: 2021-12-20
  • Esophageal and gastric variceal bleeding (EGVB) is a serious complication of portal hypertension, and it is necessary to control the progression of esophageal and gastric varices in clinical practice and prevent and treat EGVB; however, the mortality rate associated with variceal rupture and bleeding remains high at present. As for clinical treatment, risk classification of patients should be performed based on clinical and hemodynamic features and individualized treatment should be adopted, taking into account the balance of "embolization, shunt, and perfusion" of portal hypertension, so as to improve the clinical outcome and prognosis of patients with liver cirrhosis.

     

  • loading
  • [1]
    KAMATH PS, MOOKERJEE RP. Individualized care for portal hypertension: Not quite yet[J]. J Hepatol, 2015, 63(3): 543-545. DOI: 10.1016/j.jhep.2015.07.001.
    [2]
    GARCIA-TSAO G, ABRALDES JG, BERZIGOTTI A, et al. Portal hypertensive bleeding in cirrhosis: Risk stratification, diagnosis, and management: 2016 practice guidance by the American Association for the study of liver diseases[J]. Hepatology, 2017, 65(1): 310-335. DOI: 10.1002/hep.28906.
    [3]
    WANG SN, WANG GC, ZHANG MY, et al. Prevention for rebleeding of esophageal varices under the guidance of hepatic venous pressure gradient[J/CD]. Chin J Digest Med Imageol(Electronic Edition), 2019, 9(6): 256-262. DOI: 10.3877/cma.j.issn.2095-2015.2019.06.005.

    王思宁, 王广川, 张明艳, 等. 肝静脉压力梯度指导下食管静脉曲张再出血预防方法选择[J/CD]. 中华消化病与影像杂志(电子版), 2019, 9(6): 256-262. DOI: 10.3877/cma.j.issn.2095-2015.2019.06.005.
    [4]
    LUO X, XIANG T, WU J, et al. Endoscopic Cyanoacrylate Injection vs BRTO for prevention of gastric variceal bleeding: A randomized controlled trial[J]. Hepatology, 2021, 74(4): 2074-2084. DOI: 10.1002/hep.31718.
    [5]
    TIAN X, SHI Y, HU J, et al. Percutaneous transhepatic variceal embolization with cyanoacrylate vs. transjugular intrahepatic portal systematic shunt for esophageal variceal bleeding[J]. Hepatol Int, 2013, 7(2): 636-644. DOI: 10.1007/s12072-013-9433-4.
    [6]
    WANG ZW, LIU JC, ZHAO F, et al. Comparison of the effects of TIPS versus BRTO on bleeding gastric varices: A Meta-analysis[J]. Can J Gastroenterol Hepatol, 2020, 2020: 5143013. DOI: 10.1155/2020/5143013.
    [7]
    LIU J, YANG C, HUANG S, et al. The combination of balloon-assisted antegrade transvenous obliteration and transjugular intrahepatic portosystemic shunt for the management of cardiofundal varices hemorrhage[J]. Eur J Gastroenterol Hepatol, 2020, 32(5): 656-662. DOI: 10.1097/MEG.0000000000001705.
    [8]
    CHEN S, LI X, WEI B, et al. Recurrent variceal bleeding and shunt patency: Prospective randomized controlled trial of transjugular intrahepatic portosystemic shunt alone or combined with coronary vein embolization[J]. Radiology, 2013, 268(3): 900-906. DOI: 10.1148/radiol.13120800.
    [9]
    TIAN X, SHI Y, HU J, et al. Percutaneous transhepatic variceal embolization with cyanoacrylate vs. transjugular intrahepatic portal systematic shunt for esophageal variceal bleeding[J]. Hepatol Int, 2013, 7(2): 636-644. DOI: 10.1007/s12072-013-9433-4.
    [10]
    LALEMAN W, SIMON-TALERO M, MALEUX G, et al. Embolization of large spontaneous portosystemic shunts for refractory hepatic encephalopathy: A multicenter survey on safety and efficacy[J]. Hepatology, 2013, 57(6): 2448-2457. DOI: 10.1002/hep.26314.
    [11]
    BOSCH J. Small diameter shunts should lead to safe expansion of the use of TIPS[J]. J Hepatol, 2021, 74(1): 230-234. DOI: 10.1016/j.jhep.2020.09.018.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (668) PDF downloads(150) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return