理想的策略对于非的上部胃肠道出血
Robert T Kavitt1, Ian M Gralnek2,3
1Section of Gastroenterology, Hepatology, and Nutrition, University of Chicago, Chicago, Illinois, USA.
Current opinion in gastroenterology
|July 5, 2024
概括
本综述详细介绍了急性非静脉上部胃肠道出血 (UGIB) 的内镜血静. 它概述了基于福雷斯特分类的胃的推治疗方法,指导临床医生采取有效的干预措施.
科学领域:
- 胃肠病学 胃肠病学
- 内镜医学是一种内镜医学.
- 管理出血 管理出血
背景情况:
- 上部胃肠道出血 (UGIB) 是美国每年超过30万例入院病例的原因.
- 非变口性UGIB有多种原因,包括胃,侵蚀,马洛里-韦斯撕裂和恶性瘤.
研究的目的:
- 审查当前用于急性非静脉上部胃肠道出血的内镜治疗方法.
- 根据出血的伤痕,提供关于治疗胃的指导.
主要方法:
- 审查关于内镜血静止技术的当前文献.
- 使用福雷斯特分类系统对胃的分类.
主要成果:
- 内镜血静是适用于Forrest Ia,Ib和IIa的治疗.
- 森林IIb可能受益于凝块的去除和污的治疗.
- 由于复出血的风险较低,不建议对Forrest IIc或III进行内镜血静.
- 方法包括注射,热和机械方法.
结论:
- 目前的内镜疗法对于治疗急性非变节性UGIB有效.
- 基于福雷斯特分类的分层治疗优化了患者的治疗结果.
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