Noninvasive diagnosis of esophageal varices in liver cirrhosis
10.3969/j.issn.1001-5256.2020.08.036
- VernacularTitle:肝硬化食管静脉曲张的无创诊断
- Author:
Shengyun ZHOU
1
;
Zhihui DUAN
1
Author Information
1. Center of Endoscopy, Xingtai People’s Hospital, Xingtai, Hebei 054000, China
- Publication Type:Research Article
- Keywords:
liver cirrhosis;
esophageal and gastric varices;
diagnosis
- From:
Journal of Clinical Hepatology
2020;36(8):1842-1846
- CountryChina
- Language:Chinese
-
Abstract:
Esophageal varices (EV) are the most common complication in patients with liver cirrhosis. Although achievements have been made in the development of endoscopy and other hemostatic techniques, the 6-week mortality rate is still as high as 16%-26% in patients with esophageal variceal bleeding, and therefore, early diagnosis of EV, especially high-risk EV, is of great importance. At present, gastroscopy is the gold standard for the diagnosis of EV, but its clinical application is limited by invasiveness, high cost, and patient discomfort. In recent years, several noninvasive tests have been proposed for the diagnosis of EV, among which the original Baveno VI criteria and its expanded criteria are the most commonly used ones. This article summarizes and reviews the advances in serological marker, ultrasound, CT, MRI, elastography, capsule endoscopy, and ultrathin endoscopy in the noninvasive diagnosis of EV and emphasizes the development of simple noninvasive technology, so as to provide help for the early diagnosis of EV.
