摘要
目的:评估内镜下单点注射组织胶治疗胃底静脉曲张的近期疗效,并印证内镜下GEV1型胃底曲张静脉血流方向的理论.方法:GEV1型胃底静脉曲张进行组织胶注射治疗,注射点选在贲门旁小弯侧曲张静脉,进行单点注射.静脉内注射后观察1-10min,2wk内进行内镜复查.结果:胃底静脉曲张组织胶治疗后静脉均固化,部分静脉明显消失.胃底曲张静脉栓塞率100%(32/32).注射点黏膜糜烂发生率6.2%(2/32).结论:内镜下GEV1型胃底静脉曲张血流方向确实是从贲门旁小弯侧流向大弯侧.由静脉起始部位单点注射组织胶治疗,疗效显著.
AIM: To evaluate the efficacy of single-site injection of tissue adhesive under endoscopic guidance in the treatment of Type 1 gastric varices (GEV1). METHODS: Under endoscopic guidance, tissue adhesive was injected into the submucosal gastric varices along the lesser curvature of the stomach near the cardia. After injection, changes in gastric varices were observed by endoscopy for 1 to 10 min. An endoscopic review was performed within two weeks after injection. RESULTS: After injection, all gastric varices be-came hard, and part of them were eradicated. The complete obliteration rate was 100% (32/32), and the rate ofinjection site necrosis was 6.2% (2/32). CONCLUSION: Single-site injection of tissue adhesive into the submucosal gastric varices along the lesser curvature of the stomach near the cardia under endoscopic guidance is effective in the treatment of GVE1.
出处
《世界华人消化杂志》
CAS
北大核心
2009年第30期3109-3112,共4页
World Chinese Journal of Digestology
关键词
胃底静脉曲张
组织胶
注射治疗
Gastric varices
Tissue adhesive
Injection therapy
