Endoscopic Management of Esophagogastric Varices Katsutoshi Obara 1 1Department of Internal Medicine II, Fukushima Medical University, School of Medicine Keyword: 食道静脈瘤 , 孤立性胃静脈瘤 , 組織接着剤注入法 , 硬化療法 , 食道静脈瘤結紮術 pp.537-544
Published Date 2005/4/25
DOI https://doi.org/10.11477/mf.1403100067
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Esophageal and gastric varices are a main cause of upper gastrointestinal bleeding, and will bring about liver failure after variceal hemorrhage. Thus, massive hemorrhage results in poor prognosis.

 The diagnosis of variceal bleeding by urgent endoscopy is very important. Moreover, active bleeding from varices can be completely treated by endoscopy.

 Nowadays, we have many methods of treatment for variceal bleeding, and are able to choose the appropriate treatment according to the clinical condition of the patient.

 Safe and effective treatment is necessary and it can bring about improvement in quality of life. There is no need to persist with one procedure. If it is ineffective, another procedure can be used. For patients with esophageal and gastric varices it is important to select the treatment most appropriate for the general condition and portal dynamics of the patient.

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