医学
静脉曲张
门脉高压
胃静脉曲张
食管静脉曲张
肝硬化
胃肠道出血
内科学
胃肠病学
重症监护医学
普通外科
作者
Thomas O. Kovacs,Dennis M. Jensen
标识
DOI:10.1016/j.cld.2019.07.005
摘要
Gastrointestinal varices are associated with cirrhosis and portal hypertension . Variceal hemorrhage is a substantial cause of morbidity and mortality, with esophageal and gastric varices the most common source and rectal varices a much less common cause of severe gastrointestinal bleeding . The goals of managing variceal hemorrhage are control of active bleeding and prevention of rebleeding. This article focuses on reviewing the current management strategies, including optimal medical, endoscopic, and angiographic interventions and their clinical outcomes to achieve these goals. Evidence based discussion is used with current references as much as possible.
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