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Updated: Sep 10, 2025

Underwater Endoscopic Injection Sclerotherapy for Gastroesophageal Varices
02:14

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466

大腸門出血に対する内視鏡治療方法:直接的およびネットワークメタ解析による体系的レビュー

Zahid Ijaz Tarar1, Mustafa Gandhi1, Faisal Inayat2

  • 1Division of Gastroenterology and Hepatology, University of Missouri, Columbia, MO 65212, United States.

World journal of gastrointestinal endoscopy
|August 21, 2025
PubMed
まとめ

エンドスコピーによる脱離性スナー・リガーション (EDSL) は,大腸分岐性出血 (CDB) に対して,内視切断および内視帯状リガーション (EBL) よりも優れている. EDSLは初期 hemostasis を改善し,CDB患者の遅い再出血率を大幅に低下させます.

キーワード:
コロン・ディバーティキュラー出血エンドスコープバンド結合エンドスコピク クリップエンドスコープで切り取れるスナー・リガーションヘモスタシスメタ解析リブリーディング

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Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
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Diagnostic studies
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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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