Comparative study for predictability of type 1 gastric variceal rebleeding after endoscopic variceal ligation:High-frequency intraluminal ultrasound study  

作　　者：Jeong Hwan Kim Won Hyeok Choe Sun-Young Lee So Young Kwon In-Kyung Sung Hyung Seok Park 

机构地区：[1]Department of Internal Medicine,Konkuk University School of Medicine,Konkuk University Medical Center,Seoul 05030,South Korea [2]Department of Internal Medicine,Konkuk University Medical Center,Seoul 143729,South Korea [3]Department of Internal Medicine,Konkuk University School of Medicine,Seoul 05030,South Korea [4]Department of Internal Medicine,Digestive Disease Center,Konkuk University School of Medicine,Seoul 05030,South Korea

出　　处：《World Journal of Clinical Cases》2021年第34期10566-10575,共10页世界临床病例杂志

基　　金：Konkuk University Medical Center Research Grant 2018.

摘　　要：BACKGROUND The efficacy of endoscopic ultrasonography for the follow-up of gastric varices treated with endoscopic variceal ligation(EVL)has not been established.AIM To evaluate the diagnostic correlation of esophagogastroduodenoscopy(EGD)and high-frequency intraluminal ultrasound(HFIUS)for type 1 gastric varices(GOV1)after EVL and to identify the predictability for rebleeding of EGD and HFIUS.METHODS In liver cirrhosis patients with GOV1,we performed endoscopic follow-up using EGD and HFIUS synchronously after EVL for hemorrhage from GOV1.Endoscopic grading and red color signs were analyzed using EGD,and the largest variceal cross-sectional areas were measured using HFIUS.In addition,1-year follow-up was performed.Variceal rebleeding was defined as the presence of hematemesis,hematochezia,or melena without other evidence of bleeding on endoscopic follow-up.RESULTS In 26 patients with GOV1,variceal cross-sectional areas on HFIUS of GOV1 was poorly correlated with EGD grading of GOV1(r=0.36).In 17 patients who completed the 1-year follow-up,variceal cross-sectional areas on HFIUS was a good predictor of subsequent rebleeding,whereas EGD grading was not a predictor of subsequent rebleeding.CONCLUSION HFIUS measurement is more predictive of GOV1 rebleeding than EGD grading,so HFIUS measurement may be necessary for endoscopic follow-up after EVL in patients with GOV1.

关 键 词：Endoscopic variceal ligation ESOPHAGOGASTRODUODENOSCOPY High-frequency intraluminal ultrasound REBLEEDING Type 1 gastric varices 

分 类 号：R656.61[医药卫生—外科学]