Wang X, Kong DR. Endoscopic treatment of esophagogastric varices: Problems and thoughts.
Shijie Huaren Xiaohua Zazhi 2018;
26:1959-1965. [DOI:
10.11569/wcjd.v26.i34.1959]
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Abstract
Esophagogastric variceal bleeding (EVB) is a common digestive emergency, and it is usually severe and is associated with a high mortality. The American Association of Liver Diseases guidelines recommend endoscopic treatment as the first choice for acute EVB. Studies have shown that emergency endoscopic hemostasis can achieve a success rate of > 90% and thus reduce the incidence of early rebleeding and the mortality rate of patients. Endoscopic treatment mainly includes endoscopic variceal ligation, endoscopic injection sclerotherapy, tissue adhesive injection, and endoscopic therapy combined with other treatments. However, the therapeutic effect of endoscopic treatment is related to the operator's skill, portal pressure, collateral circulation, esophageal varices, and other factors. Therefore, endoscopic treatment is not indicated for all cases. In addition, endoscopic treatment may cause serious complications. Here we describe the problems and thoughts on endoscopic treatment of esophagogastric varices.
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