[The progress in management of esophagogastric variceal bleeding in cirrhotic portal hypertension]

Zhonghua Wai Ke Za Zhi. 2020 Oct 1;58(10):808-812. doi: 10.3760/cma.j.cn112139-20191111-00556.
[Article in Chinese]

Abstract

Esophagogastric variceal bleeding (EVB) is the most dangerous complication of cirrhotic portal hypertension.With the continuous emergence of research findings on EVB, multiple disciplinary team, including internal medicine department, surgery department, intervention therapy department, radiology department, has become a new mode for the prevention and treatment of EVB. This article first reviewed the classification of esophageal varices and gastric varices, and then reviewed the recent research findings of EVB from three aspects: primary prophylaxis, active variceal bleeding treatment, and secondary prophylaxis.The aim was to provide new ideas for the individualized prevention and treatment of EVB.

食管胃静脉曲张破裂出血(EVB)是肝硬化门静脉高压症最凶险的并发症。随着各个临床学科对EVB诊疗的研究成果不断涌现,EVB的预防及治疗已进入了内科、外科、介入科、影像科等多学科诊疗的新模式。本文将在回顾食管胃静脉曲张分级及分型的基础上,从EVB的一级预防、急性EVB治疗及二级预防三个方面,对EVB的诊疗进展进行综述,旨在为临床制定科学、合理的EVB个体化预防及治疗方案供新的思路。.

Keywords: Esophageal and gastric varices; Hypertension, portal; Liver cirrhosis.

Publication types

  • Review

MeSH terms

  • Esophageal and Gastric Varices* / classification
  • Esophageal and Gastric Varices* / etiology
  • Esophageal and Gastric Varices* / therapy
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / prevention & control
  • Gastrointestinal Hemorrhage / therapy*
  • Humans
  • Hypertension, Portal* / etiology
  • Hypertension, Portal* / therapy
  • Liver Cirrhosis / complications*