[Application and status of digestive endoscopy in the overall management of portal hypertension-related esophagogastric variceal bleeding]

Zhonghua Gan Zang Bing Za Zhi. 2020 Sep 20;28(9):732-736. doi: 10.3760/cma.j.cn501113-20200602-00287.
[Article in Chinese]

Abstract

Portal hypertension-related esophagogastric variceal bleeding (EVB) is deadly. Therefore, multidisciplinary management involving hepatologists, digestive endoscopy, radiological intervention, and/or surgery is necessary. Digestive endoscopy is the core of the multidisciplinary approach to the overall management of portal hypertension. It plays an important role in the early warning, emergency treatment, and the prevention of the initial and re-bleeding of portal hypertension accompanied by esophagogastric varices. In addition, gastroscopy with endoscopic ultrasound scanning can enhance the management capabilities of ectopic varices.

门静脉高压症相关食管胃静脉曲张出血(EVB)是致命的,涉及肝病、消化内镜、放射介入和/或外科手术的多学科管理是必要的。消化内镜是门静脉高压症多学科全程管理的核心,在门静脉高压伴EVB的预警、急诊治疗、首次出血及再次出血的预防中具有重要的地位。超声内镜可增强胃镜和对异位静脉曲张的处理能力。.

Keywords: Endoscopy; Esophagogastric varices; Gastrointestinal bleeding; Portal hypertension.

MeSH terms

  • Endoscopy
  • Endoscopy, Gastrointestinal
  • Esophageal and Gastric Varices* / etiology
  • Esophageal and Gastric Varices* / therapy
  • Gastrointestinal Hemorrhage / diagnostic imaging
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / therapy
  • Humans
  • Hypertension, Portal* / complications
  • Varicose Veins*