Metal clips combined with endoscopic histoacryl injection in the treatment of gastric varices with spontaneous portosystemic shunts (with video)

中华消化内镜杂志 Pub Date : 2020-02-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2020.02.007

Jia-Li Ma, Xu Chen, Shan Hong, Caihong Deng, Yu Jiang, Julong Hu

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引用次数: 1

Abstract

Objective To evaluate the safety and efficacy of metal clips combined with endoscopic histoacryl injection for gastric varices with spontaneous portosystemic shunts. Methods The clinical data and complications of 32 patients who were treated with metal clips combined with endoscopic histoacryl injection at Beijing Ditan Hospital of Capital Medical University from May 2016 to October 2018 were collected and analyzed. Results Hemostasis was achieved in all patients, and the median volume of histoacryl was 3.8 mL. Varices were eradicated or disappeared in 9 cases, and the degree of varices were lessened in 23 cases. No rebleeding was found at 72 h, 7 d, 14 d and 6 weeks after operation in any patient. No ectopic embolism occurred. Conclusion Metal clips combined with endoscopic histoacryl injection is effective and safe to treat gastric varices with spontaneous portosystemic shunts. Key words: Endoscopy; Esophageal and gastric varices; Spontaneous protosystemic shunt; Histoacryl; Metal clip

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金属夹联合内镜下注射组织丙烯酸治疗自发性门体分流的胃静脉曲张（附视频）

目的评价金属夹联合内镜下注射组蛋白治疗自发性门体分流胃静脉曲张的安全性和有效性。方法收集2016年5月至2018年10月在首都医科大学北京地坛医院接受金属夹联合内镜下注射组织丙烯酸类药物治疗的32例患者的临床资料及并发症进行分析。结果所有患者均达到止血状态，组压克力中位体积为3.8mL，9例静脉曲张根除或消失，23例静脉曲张程度减轻。术后72 h、7 d、14 d和6周均未发现再出血。未发生异位栓塞。结论金属夹配合内镜下注射组蛋白是治疗自发性门体分流胃静脉曲张的有效、安全的方法。关键词：内窥镜；食道和胃静脉曲张；自发性原系统分流；Histoacryl；金属卡子

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来源期刊

中华消化内镜杂志

CiteScore

0.10

自引率

0.00%

发文量

7555

期刊介绍： Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy. Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience. The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications. The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research. Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.