胃静脉管管理的内镜装置和技术 (带视频)
, Guru Trikudanathan1, Erik F Rahimi2
1Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA.
Gastrointestinal endoscopy
|October 31, 2024
概括
胃水出血是通过内镜治疗的,主要是用烯酸 (CYA) 剂注射. 用CYA粘合剂和卷轴进行内超声波 (EUS) 引导的疗法为治疗胃静脉提供了一种改进的治疗方法.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 肝病学 肝病学是一种肝病学.
背景情况:
- 胃水出血,虽然不如食道水更常见,但携带更高的发病率和死亡率.
- 管理因类型而异,胃食道静脉瘤1型的治疗方式与食道静脉瘤类似.
- 其他胃 (GOV2,IGV1,IGV2) 需要不同的内镜或非内镜方法,如TIPS或BRTO.
研究的目的:
- 审查胃静脉 (GVs) 的内镜治疗方法.
- 为了突出目前和新兴的内镜技术GV出血.
主要方法:
- 在MEDLINE数据库的文献搜索到2022年8月.
- 关键词包括胃静脉,烯酸,EUS,TIPS和BRTO.
- 内容由ASGE技术委员会起草,审查和批准.
主要成果:
- 烯酸 (CYA) 粘合剂注射仍然是GVs的主要内镜治疗方法.
- 使用CYA和线圈栓塞的EUS引导血管治疗是一种有效的替代方案.
- 将CYA粘合剂与线圈相结合,可以改善准并降低粘合剂栓塞的风险.
结论:
- 烯酸粘剂注射是内镜GV管理的基石.
- 使用带有或没有线圈的CYA合剂进行EUS引导的治疗,扩大了治疗选择.
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