中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

肝硬化食管静脉曲张破裂出血的内镜治疗

江长文 汪安江 张金莲 阮芳鸣 李弼民

引用本文:
Citation:

肝硬化食管静脉曲张破裂出血的内镜治疗

DOI: 10.3969/j.issn.1001-5256.2019.06.041
基金项目: 

江西省杰出青年人才资助计划(20171BCB23085); 江西省重点研发计划项目(20161BBG70166); 江西省卫生及计划生育委员会科技计划项目(20171022); 

详细信息
  • 中图分类号: R575.2

Endoscopic therapy for liver cirrhosis with esophageal variceal bleeding

Research funding: 

 

  • 摘要: 食管静脉曲张破裂出血是肝硬化的严重并发症。内镜治疗是预防和治疗食管静脉曲张破裂出血的主要手段之一,包括套扎术、硬化剂注射及超声内镜引导下硬化剂注射、组织胶注射、自膨式覆膜金属支架、联合治疗及其他内镜治疗方式等。现就各种内镜下治疗方式的适应证、临床疗效、并发症等情况作一概述。

     

  • [1]TRIANTOS C, KALAFATELI M.Endoscopic treatment of esophageal varices in patients with liver cirrhosis[J].World J Gastroenterol, 2014, 20 (36) :13015-13026.
    [2]TRIPATHI D, STANLEY AJ, HAYES PC, et al.UK guidelines on the management of variceal haemorrhage in cirrhotic patients[J].Gut, 2015, 64 (11) :1680-1704.
    [3]de FRANCHIS R.Expanding consensus in portal hypertension[J].J Hepatol, 2015, 63 (3) :743-752.
    [4]Chinese Society of Hepatology, Chinese Medical Association;Chinese Socielty of Gastroenterology, Chinese Medical Association;Chinese Society of Endoscopy.Chinese Medical Association Guidelines for the diagnosis and treatment of esophageal and gastric variceal bleeding in cirrhotic portal hypertension[J].J Clin Hepatol, 2016, 32 (2) :203-219. (in Chinese) 中华医学会肝病学分会, 中华医学会消化病学分会, 中华医学会内镜学分会.肝硬化门静脉高压食管胃静脉曲张出血的防治指南[J].临床肝胆病杂志, 2016, 32 (2) :203-219.
    [5]GLUUD LL, KRAG A.Banding ligation versus beta-blockers for primary prevention in oesophageal varices in adults[J].Cochrane Database Syst Rev, 2012, 15 (8) :CD004544.
    [6]ABD ELRAHIM AY, FOUAD R, KHAIRY M, et al.Efficacy of carvedilol versus propranolol versus variceal band ligation for primary prevention of variceal bleeding[J].Hepatol Int, 2018, 12 (1) :75-82.
    [7]BONILHA DQ, LENZ L, CORREIA LM, et al.Propranolol associated with endoscopic band ligation reduces recurrence of esophageal varices for primary prophylaxis of variceal bleeding[J].Eur J Gastroenterol Hepatol, 2015, 27 (1) :84-90.
    [8]SEO YS, KIM MY, YIM HJ, et al.Multicenter prospective randomized controlled trial comparing propranolol, endoscopic band ligation, and combination therapy for the primary prophylaxis variceal bleeding in patients with liver cirrhosis[J].JHepatol, 2017, 66 (Suppl 1) :s35.
    [9] TRIPATHI D, STANLEY AJ, HAYES PC, et al.U.K.guidelines on the management of variceal haemorrhage in cirrhotic patients[J].Gut, 2015, 64 (11) :1680-1704.
    [10]HSU Y, CHUNG C, TSENG C, et al.Delayed endoscopy as a risk factor for in-hospital mortality in cirrhotic patients with acute variceal hemorrhage[J].J Gastroenterol Hepatol, 2009, 24 (7) :1294-1299.
    [11]CHEN P, CHEN W, HOU M, et al.Delayed endoscopy increases re-bleeding and mortality in patients with hematemesis and active esophageal variceal bleeding:A cohort study[J].J Hepatol, 2012, 57 (6) :1207-1213.
    [12]GARCIA-TSAO G, ABRALDES JG, BERZIGOTTI A, et al.Portal hypertensive bleeding in cirrhosis:Risk stratification, diagnosis, and management:2016 practice guidance by the A-merican Association for the study of liver diseases[J].Hepatology, 2017, 65 (1) :310-335.
    [13]DAI C, LIU WX, JIANG M, et al.Endoscopic variceal ligation compared with endoscopic injection sclerotherapy for treatment of esophageal variceal hemorrhage:A meta-analysis[J].World J Gastroenterol, 2015, 21 (8) :2534-2541.
    [14]ALI SM, WU S, XU H, et al.A prospective study of endoscopic injection sclerotherapy and endoscopic variceal ligation in the treatment of esophageal varices[J].J Laparoendosc Adv Surg Tech A, 2017, 27 (4) :333-341.
    [15]HWANG JH, SHERGILL AK, ACOSTA RD, et al.The role of endoscopy in the management of variceal hemorrhage[J].Gastrointest Endosc, 2014, 80 (2) :221-227.
    [16]WANG H, LO G, CHEN W, et al.Randomized controlled trial of monthly versus biweekly endoscopic variceal ligation for the prevention of esophageal variceal rebleeding[J].J Gastroenterol Hepatol, 2014, 29 (6) :1229-1236.
    [17]SHEIBANI S, KHEMICHIAN S, KIM JJ, et al.Randomized trial of 1-week versus 2-week intervals for endoscopic ligation in the treatment of patients with esophageal variceal bleeding[J].Hepatology, 2016, 64 (2) :549-555.
    [18]DEGUCHI H, KATO J, MAEDA Y, et al.Argon plasma coagulation is effective for prevention of recurrent esophageal varices after endoscopic injection sclerotherapy:Single-center case-control study[J].Dig Endosc, 2016, 28 (1) :42-49.
    [19]KAPOOR A, DHAREL N, SANYAL AJ.Endoscopic diagnosis and therapy in gastroesophageal variceal bleeding[J].Gastrointest Endosc Clin N Am, 2015, 25 (3) :491-507.
    [20]KONDO T, MARUYAMA H, KIYONO S, et al.Eradication of esophageal varices by sclerotherapy combined with argon plasma coagulation:Effect of portal hemodynamics and longitudinal clinical course[J].Dig Endosc, 2016, 28 (2) :152-161.
    [21]MASALAITE L, VALANTINAS J, STANAITIS J.Endoscopic ultrasound findings predict the recurrence of esophageal varices after endoscopic band ligation:A prospective cohort study[J].Scand J Gastroenterol, 2015, 50 (11) :1322-1330.
    [22]de PAULO GA, ARDENGH JC, NAKAO FS, et al.Treatment of esophageal varices:A randomized controlled trial comparing endoscopic sclerotherapy and EUS-guided sclerotherapy of esophageal collateral veins[J].Gastrointest Endosc, 2006, 63 (3) :396-402, 463.
    [23]MA L, HUANG X, LIAN J, et al.Transparent cap-assisted endoscopic sclerotherapy in esophageal varices:A randomized-controlled trial[J].Eur J Gastroenterol Hepatol, 2018, 30 (6) :626-630.
    [24]ZHOU G, WANG ZY, WU JL, et al.The application value of transparent cap assisted endoscopic sclerotherapy in esophageal varices bleeding[J].China J Endosc, 2015, 21 (2) :136-140. (in Chinese) 周刚, 王志勇, 吴建良, 等.透明帽辅助内镜下硬化治疗在食管静脉曲张破裂出血中的应用价值[J].中国内镜杂志, 2015, 21 (2) :136-140.
    [25]LJUBICIC N, BISCANIN A, NIKOLIC M, et al.A randomized-controlled trial of endoscopic treatment of acute esophageal variceal hemorrhage:N-butyl-2-cyanoacrylate injection vs.variceal ligation[J].Hepatogastroenterology, 2011, 58 (106) :438-443.
    [26]RIBEIRO JP, MATUGUMA SE, CHENG S, et al.Results of treatment of esophageal variceal hemorrhage with endoscopic injection of n-butyl-2-cyanoacrylate in patients with Child-Pugh class C cirrhosis[J].Endosc Int Open, 2015, 3 (6) :e584-e589.
    [27]HOLSTER IL, KUIPERS EJ, van BUUREN HR, et al.Self-expandable metal stents as definitive treatment for esophageal variceal bleeding[J].Endoscopy, 2013, 45 (6) :485-488.
    [28]MULLER M, SEUFFERLEIN T, PERKHOFER L, et al.Selfexpandable metal stents for persisting esophageal variceal bleeding after band ligation or injection-therapy:A retrospective study[J].PLo S One, 2015, 10 (6) :e126525.
    [29]MAROT A, TREPO E, DOERIG C, et al.Systematic review with meta-analysis:Self-expanding metal stents in patients with cirrhosis and severe or refractory oesophageal variceal bleeding[J].Aliment Pharmacol Ther, 2015, 42 (11-12) :1250-1260.
  • 加载中
计量
  • 文章访问数:  1072
  • HTML全文浏览量:  49
  • PDF下载量:  219
  • 被引次数: 0
出版历程
  • 出版日期:  2019-06-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回