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Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition) ›› 2022, Vol. 09 ›› Issue (02): 86-90. doi: 10.3877/cma.j.issn.2095-7157.2022.02.015

• Original Article • Previous Articles     Next Articles

Endoscopic diagnosis and treatment of cirrhosis complicated with upper gastrointestinal bleeding

Ying Liu1, Yanling Wang2, Shubo Zhao3, Wenhui Zhang3,()   

  1. 1. Shenzhen Third People′s Hospital, Shenzhen 518112, China
    2. Fifth Medical Center, PLA General Hospital, Beijing 100039, China
    3. Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
  • Received:2022-01-14 Online:2022-05-15 Published:2022-07-07
  • Contact: Wenhui Zhang

Abstract:

Objective

To investigate the value of emergency gastroscopy in the diagnosis and treatment of patients with cirrhosis complicated with upper gastrointestinal bleeding.

Methods

The clinical data and endoscopic findings of patients with cirrhosis with upper gastrointestinal bleeding from January 2019 to December 2019 were retrospectively analyzed.

Results

A total of 2 766 patients were enrolled in the study. No bleeding site was observed in 588 cases. Among the rest 2 178 cases, 1 256 cases were diagnosed with EGVB (57.67%), and 1 183 cases were treated with sclerosis, ligation and tissue adhesive embolization, and effective rate was 96.79%(1 145/1 183).

Conclusion

Emergency gastroscopy is an effective treatment for cirrhosis with upper gastrointestinal bleeding. After actively improving the general condition and the condition is stable, emergency gastroscopy should be performed as soon as possible, which can quickly clarify the cause and control the bleeding, and obtain good efficacy, which should be promoted in clinical practice.

Key words: Esophagogastric variceal bleeding, Gastroesophageal varices, Liver cirrhosis, Emergency endoscopy

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