Application of reverse ligation in treatment of gastroesophageal varices
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摘要: 食管胃静脉曲张(GOV)作为肝硬化并发症之一,一旦破裂出血即会严重威胁患者生命,目前内镜下治疗已成为其一线治疗方法。而针对GOV,传统食管套扎难以处理贲门下曲张静脉,术后复发风险大。近年来,反转套扎技术作为一种有效治疗GOV的方法,在静脉曲张的治疗方面安全有效,且与其他内镜下治疗手段相比无明显差异。就GOV的临床特点及治疗,反转套扎技术的优点、局限性及改进等方面进行了阐述。Abstract: As one of the complications of liver cirrhosis, esophageal and gastric varices will seriously threaten patient's life once it rupturesand causes bleeding. At present, endoscopic treatment has become the first-line treatment for this disease. As for gastroesophageal varices, conventional esophageal ligation cannot deal with the varicose veins under the cardia and has a high risk of postoperative recurrence. In re-cent years, reverse ligation, as an effective method for the treatment of gastroesophageal varices, is safe and effective in the treatment of vari-ces and has a similar clinical effect as other endoscopic techniques. This article elaborates on the clinical features and treatment of gastroe-sophageal varices and advantages, limitations, and improvements of reverse ligation.
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Key words:
- liver cirrhosis /
- esophageal and gastric varices /
- reverse ligation technology /
- review
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