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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 407 - 415 (9page)
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Acute gastroesophageal variceal hemorrhage is a dreaded complication in patients with liver cirrhosis. Endoscopic therapy andradiologic intervention for gastroesophageal bleeding have rapidly developed in the recent decades. Endoscopic treatment is initiallyperformed to stop variceal hemorrhage. For the treatment of esophageal variceal bleeding, endoscopic variceal ligation (EVL) isconsidered the endoscopic treatment of choice. In cases of gastric variceal hemorrhage, the type of gastric varices (GVs) is importantin deciding the strategy of endoscopic treatment. Endoscopic variceal obturation (EVO) is recommended for fundal variceal bleeding. For the management of gastroesophageal varix type 1 bleeding, both EVO and EVL are available treatment options; however, EVOis preferred over EVL. If endoscopic management fails to control variceal hemorrhage, radiologic interventional modalities could beconsidered. Transjugular intrahepatic portosystemic shunt is a good option for rescue treatment in refractory variceal bleeding. In casesof refractory hemorrhage of GVs in patients with a gastrorenal shunt, balloon-occluded retrograde transvenous obliteration could beconsidered as a salvage treatment.
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참고문헌 (56)
참고문헌 신청
García-Pagán JC / 2012 / Functional aspects on the pathophysiology of portal hypertension in cirrhosis / J Hepatol 57:458~461
Garcia-Tsao G / 2010 / Management of varices and variceal hemorrhage in cirrhosis / N Engl J Med 362:823~832
de Franchis R / 2001 / Natural history of portal hypertension in patients with cirrhosis / Clin Liver Dis 5:645~663
de Franchis R / 2010 / Revising consensus in portal hypertension: report of the Baveno V consensus workshop on methodology of diagnosis and therapy in portal hypertension / J Hepatol 53:762~768
Garcia-Tsao G / 2017 / Portal hypertensive bleeding in cirrhosis : risk stratification, diagnosis, and management : 2016 practice guidance by the American Association for the study of liver diseases / Hepatology 65:310~335
Garcia-Tsao G / 2010 / Management of varices and variceal hemorrhage in cirrhosis / N Engl J Med 362:823~832
de Franchis R / 2001 / Natural history of portal hypertension in patients with cirrhosis / Clin Liver Dis 5:645~663
de Franchis R / 2010 / Revising consensus in portal hypertension: report of the Baveno V consensus workshop on methodology of diagnosis and therapy in portal hypertension / J Hepatol 53:762~768
Garcia-Tsao G / 2017 / Portal hypertensive bleeding in cirrhosis : risk stratification, diagnosis, and management : 2016 practice guidance by the American Association for the study of liver diseases / Hepatology 65:310~335
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