中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Issue 2
Feb.  2016
Turn off MathJax
Article Contents

Individualized treatment of liver cirrhosis and esophageal and gastric varices from the perspective of Baveno Ⅳ

DOI: 10.3969/j.issn.1001-5256.2016.02.008
  • Received Date: 2015-12-02
  • Published Date: 2016-02-20
  • The therapeutic methods for portal hypertension have been greatly developed,including surgical operation,endoscopic injection of sclerosing agents,endoscopic variceal ligation,tissue adhesive embolization,and radioactive intervention,and have significantly reduced the fatality of portal hypertension. Focusing on the risk assessment and individualized management of portal hypertension,Baveno IV emphasizes patient stratification and individualized treatment. Based on Baveno IV consensus,this article briefly introduces hepatic venous pressure gradient and liver function reserve,as well as the application of characteristic parameters such as“gastro- renal shunt”in the development and prevention of variceal bleeding.

     

  • loading
  • [1]de FRANCHIS R.Expanding consensus in portal hypertension:report of the Baveno VI Consensus Workshop:stratifying risk and individualizing care for portal hypertension[J].J Hepatol,2015,63(3):743-752.
    [2]KAMATH PS,MOOKERJEE RP.Individualized care for portal hypertension:Not quite yet[J].J Hepatol,2015,63(3):543-545.
    [3]BURROUGHS AK,THALHEIMER U.Hepatic venous pressure gradient in 2010:optimal measurement is key[J].Hepatology,2010,51(6):1894-1896.
    [4]LI Z,ZHANG CQ.Clinical application of hepatic venous pressure gradient[J/CD].Chin J Digest Med Imageol:Electronic Edition,2013,3(3):1-3.(in Chinese)李振,张春清.肝静脉压力梯度测定的临床应用[J/CD].中华消化病与影像杂志:电子版,2013,3(3):1-3.
    [5]ADDLEY J,THAM TC,CASH WJ.Use of portal pressure studies in the management of variceal haemorrhage[J].World J Gastrointest Endosc,2012,4(7):281-289.
    [6]LI ZF,JIANG A,ZHANG S.Exploration and practice of individualized treatment strategies for cirrhotic portal hypertension[J/CD].Chin J Hepatic Surg:Electronic Edition,2015,4(3):146-149.(in Chinese)李宗芳,蒋安,张澍.肝硬化门静脉高压症个体化治疗策略的探索与实践[J/CD].中华肝脏外科手术学:电子杂志,2015,4(3):146-149.
    [7]KANG EJ,JEONG SW,JANG JY,et al.Long-term result of endoscopic Histoacryl(N-butyl-2-cyanoacrylate)injection for treatment of gastric varices[J].World J Gastroenterol,2011,17(11):1494-1500.
    [8]SAAD WE,KHAJA MS,HIROTA S.Balloon-occluded retrograde transvenous obliteration of gastric varices:conception,evolution,and history[J].Tech Vasc Interv Radiol,2012,15(3):160-164.
    [9]SARASWAT VA,VERMA A.Gluing gastric varices in 2012:lessons learnt over 25 years[J].Tech Vasc Interv Radiol,2012,2(1):55-69.
    [10]WU L,LI LH,ZHANG CQ,et al.Percutaneous trans-hepatic cyanoacrylate embolization forgastricvarices[J].Chin J Dig Endosc,2009,11(11):580-583.(in Chinese)吴蕾,李兰花,张春清,等.经皮经肝胶栓塞治疗胃静脉曲张的疗效分析[J].中华消化内镜杂志,2009,11(11):580-583.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (388) PDF downloads(349) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return