Progress in Non-invasive Examination of Esophageal Varices in Liver Cirrhosis Patients With Portal Hypertension
10.3969/j.issn.1008-7125.2020.02.012
- VernacularTitle: 肝硬化患者门静脉高压食管静脉曲张无创性检查的研究进展
- Author:
Jia YUAN
1
Author Information
1. Department of Gastroenterology, The Second Affiliated Hospital of Kunming Medical University
- Publication Type:Journal Article
- Keywords:
Diagnosis;
Esophageal and Gastric Varices;
Liver Cirrhosis;
Non-Invasive Examination
- From:
Chinese Journal of Gastroenterology
2020;25(2):121-124
- CountryChina
- Language:Chinese
-
Abstract:
Esophageal varices is one of the main complications of liver cirrhosis. Gastroscopy is the gold standard for the detection of esophageal varices. However, the latest Baveno guidelines suggest that endoscopy is not required in patients with liver stiffness<20 kPa and platelet >150 000/μL. Currently, non-invasive and low-invasive methods of esophageal varices mainly include liver and spleen elastography, CT, magnetic resonance imaging, Doppler ultrasound, laboratory examination. The elastography of spleen has more advantages than that of liver, and the accuracy of CT in the diagnosis of esophageal varices in patients with liver cirrhosis is high. This article reviewed the non-invasive examination of esophageal varices in patients with liver cirrhosis.