《2023年美国肝病学会实践指导:经颈静脉肝内门体分流术、静脉曲张栓塞术和逆行经静脉闭塞术治疗静脉曲张出血》摘译
DOI: 10.3969/j.issn.1001-5256.2023.11.008
An excerpt of AASLD practice guidance on the use of TIPS, variceal embolization, and retrograde transvenous obliteration in the management of variceal hemorrhage in 2023
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关键词:
- 食管和胃静脉曲张 /
- 门体分流术, 经颈静脉肝内 /
- 诊疗准则
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表 1 胃肠道静脉曲张的位置、血供和回流
Table 1. Location, supply, and drainage of gastrointestinal varices
表 2 静脉曲张出血的血管内治疗技术总结
Table 2. Summary of endovascular therapies in the management of variceal hemorrhage
表 3 应考虑使用TIPS治疗静脉曲张出血的临床场景
Table 3. Clinical scenarios in which TIPS should be considered for the treatment of variceal bleeding
抢占式TIPS(既往称早期TIPS) 对于通过药物/内镜治疗失败风险高的出血患者,在出血后72 h内 先行放置TIPS 挽救性TIPS 用于尽管进行了药物和内镜治疗但仍有未控制的(持续性)出血患者 补救性TIPS 用于静脉曲张出血早期(5天内)复发的患者 TIPS用于静脉曲张出血的二级预防(择期TIPS) 用于从急性静脉曲张出血中康复(初次出血后72 h以上)的患者 -
[1] LEE EW, EGHTESAD B, GARCIA-TSAO G, et al. AASLD Practice Guidance on the Use of TIPS, Variceal Embolization, and Retrograde Transvenous Obliteration in the Management of Variceal Hemorrhage[J]. Hepatology, 2023. DOI: 10.1097/HEP.0000000000000530.[ Online ahead of print] -
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