胃的小跨状肠直肠移植系统静脉转移加变肠栓塞:一个多中心队列研究
Yifu Xia1, Jun Tie2, Guangchuan Wang3
1Department of Gastroenterology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, China; Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
将腹栓塞添加到横内肝移植系统分流 (TIPS) 中,可以减少在特定的胃类型 (GOV2,IGV1) 中的复出出血和肝脑病变. 胃食道静脉瘤1型 (GOV1) 没有显示这些好处.
科学领域:
- 干预性胃肠病学 干预性胃肠病学
- 肝病学 肝病学是一种肝病学.
- 血管干预 血管干预
背景情况:
- 胃静脉 (GVs) 具有显著的出血风险.
- 经内肝移植系统 (TIPS) 的疗效与GVs的水栓塞相结合是有争议的.
- 小直径 (8毫米) TIPS是一种常见的治疗方式.
研究的目的:
- 评估添加8毫米TIPS的水栓塞对GVs患者再出血率的影响.
- 评估对明显肝脑病变 (OHE) 和全因死亡率的影响.
- 根据不同类型的胃变节 (GOV1,GOV2,IGV1) 来分层结果.
主要方法:
- 全国多中心回顾性队列研究.
- 包括629名接受8毫米TIPS治疗的患者.
- 主要终点:所有原因的再出血;次要终点:OHE和所有原因的死亡率.
主要成果:
- 在整体队列中,使用8毫米TIPS的辅助栓塞显著降低了再出血 (6.2%对13.6%) 和OHE (31.0%对39.4%).
- 患有2型胃食道静脉瘤 (GOV2) 和1型隔离胃静脉瘤 (IGV1) 的患者在联合治疗中显著减少了复出血和OHE.
- 对于1型胃食道静脉瘤 (GOV1) 没有观察到重出血或OHE的显著差异;死亡率在各组中相似.
结论:
- 8毫米的TIPS加上水栓塞在减少GOV2和IGV1.1患者的再出血和OHE方面是有效的.
- 对GOV2和IGV1患者来说,水栓塞提供了潜在的益处,但对于GOV1.1来说并不典型.
- 这表明,根据GV分类来定制的栓塞方法可以优化治疗结果.
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