Early identification of variceal bleeding and thorough standardization of emergency endoscopic management
10.3760/cma.j.cn431274-20230512-00686
- VernacularTitle:早期识别静脉曲张出血，全程规范急诊内镜管理
- Author:
Huishan WANG
1
;
Xiaoquan HUANG
;
Shiyao CHEN
Author Information
1. 复旦大学附属中山医院消化科，上海 200032
- Keywords:
Esophageal and gastric varices;
Acute gastrointestinal bleeding;
Endoscopy, gastrointestinal
- From:
Journal of Chinese Physician
2023;25(6):801-804
- CountryChina
- Language:Chinese
-
Abstract:
According to the pathophysiological characteristics, upper gastrointestinal bleeding can be divided into acid related disease bleeding and esophageal and gastric varices bleeding. Esophageal and gastric variceal bleeding is a common critical condition of Portal hypertension, with dangerous onset and high mortality. With the improvement of endoscopic treatment technology, endoscopy has become the first line treatment plan for esophageal and gastric variceal bleeding. The commonly used endoscopic management methods for varicose veins include variceal ligation, tissue glue combined with sclerosing agent embolization, ultrasound guided coil combined with tissue glue embolization, and other management measures. Early identification of gastrointestinal bleeding related to varicose veins, stratified diagnosis and treatment of high-risk patients, reasonable selection of endoscopic examination timing, and personalized decision-making of treatment choices are key to improving efficacy.
