切换至 "中华医学电子期刊资源库"

中华胃肠内镜电子杂志 ›› 2023, Vol. 10 ›› Issue (01) : 1 -2. doi: 10.3877/cma.j.issn.2095-7157.2023.01.001

所属专题: 指南共识

共识与指南

《肝硬化门静脉高压食管胃静脉曲张内镜下硬化治疗专家共识》解读
刘德良1   
  1. 1. 410011 长沙,中南大学湘雅二医院消化内科,中南大学消化病研究中心
  • 收稿日期:2022-12-20 出版日期:2023-02-15

Interpretation of Chinese expert consensus on endoscopic injection sclerotherapy for gastroesophageal varices in patients with portal hypertention induced by liver cirrhosis: Conbrol the indication of endoscopic injection sclerotherapy

Deliang Liu1   

  • Received:2022-12-20 Published:2023-02-15
引用本文:

刘德良. 《肝硬化门静脉高压食管胃静脉曲张内镜下硬化治疗专家共识》解读[J]. 中华胃肠内镜电子杂志, 2023, 10(01): 1-2.

Deliang Liu. Interpretation of Chinese expert consensus on endoscopic injection sclerotherapy for gastroesophageal varices in patients with portal hypertention induced by liver cirrhosis: Conbrol the indication of endoscopic injection sclerotherapy[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2023, 10(01): 1-2.

肝硬化门静脉高压症(portal hypertension, PH)可引起腹水、食管胃静脉曲张(gastroesophageal varices, GOV)及食管胃静脉曲张破裂出血(esophagogastric variceal bleeding, EGVB)、肝性脑病等,其中EGVB是常见的消化系统急症之一,病死率较高。内镜下硬化治疗(endoscopic injection sclerotherapy,EIS)在EGVB的一级预防、控制急性出血和二级预防中起着至关重要的作用。为规范EIS在EGVB中的治疗,中华医学会消化内镜学分会食管胃静脉曲张内镜诊断与治疗学组组织全国相关领域专家制定了《肝硬化门静脉高压食管胃静脉曲张内镜下硬化治疗专家共识》,以下简称《共识》[1]。现就EIS的适应证做一解读。

[1]
中华医学会消化内镜学分会食管胃静脉曲张内镜下诊断与治疗学组. 肝硬化门静脉高压食管胃静脉曲张内镜下硬化治疗专家共识(2022,长沙)[J/CD].中华胃肠内镜电子杂志2022, 9(4):181-192.
[2]
European Association for the Study of the Liver. Electronic address eee, European Association for the Study of the L. EASL Clinical Practice Guidelines for the management of patients with decompensated cirrhosis[J]. J Hepatol, 201869(2): 406-460.
[3]
de Franchis R, Bosch J, Garcia-Tsao G, et al. Baveno Ⅶ- Renewing consensus in portal hypertension[J]. J Hepatol, 2022, 76(4): 959-974.
[4]
Gralnek IM, Camus Duboc M, Garcia-Pagan JC, et al. Endoscopic diagnosis and management of esophagogastric variceal hemorrhage: European Society of Gastrointestinal Endoscopy (ESGE) Guideline[J]. Endoscopy, 2022, 54(11): 1094-1120.
[5]
中华医学会肝病学分会,中华医学会消化病学分会,中华医学会消化内镜学分会. 肝硬化门静脉高压食管胃静脉曲张出血的防治指南[J]. 中华肝脏病杂志2022, 30:网络预发表. DOI: 10.3760/cma.j.cn501113-20220824-00436.
[6]
Al-Khazraji A, Curry MP. The current knowledge about the therapeutic use of endoscopic sclerotherapy and endoscopic tissue adhesives in variceal bleeding[J]. Expert Rev Gastroenterol Hepatol, 2019, 13(9): 893-897.
[7]
谭玉勇,乐梅先,刘德良. 硬化剂在肝硬化食管静脉曲张破裂出血防治中的优化应用[J/CD]. 中华胃肠内镜电子杂志2020, 7(1): 39-42.
[8]
中华医学会肝病学分会,中华医学会消化病学分会,中华医学会消化内镜学分会. 肝硬化门静脉高压食管胃静脉曲张出血防治指南[J/CD].中华胃肠内镜电子杂志2015, 2(4):1-21.
[9]
Roberts D, Best LM, Freeman SC, et al. Treatment for bleeding oesophageal varices in people with decompensated liver cirrhosis: a network meta-analysis[J]. Cochrane Database Syst Rev, 2021, 4(4): CD013155.
[10]
Huang Y, Zhang W, Xiang H, et al. Treatment Strategies in Emergency Endoscopy for Acute Esophageal Variceal Bleeding (CHESS1905): A Nationwide Cohort Study[J]. Front Med (Lausanne), 2022, 9: 872881.
[11]
Plaz Torres MC, Best LM, Freeman SC, et al. Secondary prevention of variceal bleeding in adults with previous oesophageal variceal bleeding due to decompensated liver cirrhosis: a network meta-analysis[J]. Cochrane Database Syst Rev, 2021, 3(3): CD013122.
[12]
张其良,刘应莉,王艳荣,等. 聚桂醇改良"三明治"法治疗胃底静脉曲张疗效及安全性的Meta分析[J]. 中华消化内镜杂志2022, 39(5): 399-404.
No related articles found!
阅读次数
全文


摘要