Esophageal and gastric variceal bleeding in liver cirrhosis: Embolization or shunt
10.3969/j.issn.1001-5256.2021.12.004
- VernacularTitle:肝硬化食管胃静脉曲张出血:堵抑或疏?
- Author:
Zhen LI
1
;
Chunqing ZHANG
1
Author Information
1. Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250000, China
- Publication Type:Discussions by experts
- Keywords:
Liver Cirrhosis;
Hypertension, Portal;
Esophageal and Gastric Varices;
Portasystemic Shunt, Transjugular Intrahepatic
- From:
Journal of Clinical Hepatology
2021;37(12):2764-2766
- CountryChina
- Language:Chinese
-
Abstract:
Esophageal and gastric variceal bleeding (EGVB) is a serious complication of portal hypertension, and it is necessary to control the progression of esophageal and gastric varices in clinical practice and prevent and treat EGVB; however, the mortality rate associated with variceal rupture and bleeding remains high at present. As for clinical treatment, risk classification of patients should be performed based on clinical and hemodynamic features and individualized treatment should be adopted, taking into account the balance of "embolization, shunt, and perfusion" of portal hypertension, so as to improve the clinical outcome and prognosis of patients with liver cirrhosis.