Development of a classification system for gastroesophageal varices according to its location, diameter and risk of bleeding
- VernacularTitle:位置、直径、出血风险在食管胃底静脉曲张破裂出血患者分型中应用初探
- Author:
Enqiang LINGHU
;
Jia FENG
- Publication Type:Journal Article
- Keywords:
Esophageal and gastric varices;
Classification;
Risk factors
- From:
Chinese Journal of Digestive Endoscopy
2008;25(10):507-511
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility of developing a novel classification system for gastroesophageal variees according to its location(L), diameter(D) and risk of bleeding(R). Methods The data of 381 patients with gastroesophageal varices, who underwent emergency endoscopy because of variceal bleeding, were retrospectively analyzed. The varices were classified into different types according to their location, diameter and risk of bleeding (LDRf). Results Bleeding was most common in varices located at middle and lower part of the esophagus, and red sign on varices was a risk factor of bleeding. All varices could be classified into one certain type according to LDRf. Of 293 cases of esophageal varices, 133 (45.4%) were Rf1 and 160 (54. 6% ) were Rf2 ; of 88 cases of gastric varices, 47 (53.4%) were Rf1 and 41 (46. 6% ) were Rf2. Condusion The LDRf classification system is feasible in gastroesophageal varices.
