【摘要】 探讨内镜下硬化剂(EST)和套扎(EVL)治疗食管静脉曲张术后对门脉高压性胃病(PHG)和胃底静脉曲张(GV)的影响,对21例注射硬化剂治疗和27例套扎治疗的共48例患者进行了1年的内镜随访,观察PHG和GV的程度。结果在接受治疗3个月和1年后,PHG发生率较治疗前(35％,17/48)明显增加,分别为75％(36/48)和87％(42/48);GV较治疗前(17％,8/48)增多,分别为33％(16/48)和43％(21/48)。结论:食管静脉曲张的内镜下硬化剂和套扎治疗将加重PHG和GV且有可能增加PHG和GV的出血机会。更多还原

【Abstract】 Purpose: To evaluate the effects of endoscopic variceal ligation (EVL) and sclerotherapy (EST) on portal hypertensive gastropathy (PHG). Methods: 48 patients with esophageal varices were prospectively evaluated for PHG and gastric varices (GV) before and after the EST or EVL. Patients were followed up for one year with endoscopy after treat. Results: Of 48 patients 17 had PHG before and 36 had PHG after the treat 3 months, 42 had PHG after the treat one year. GV were seen in 8/48 before and 16/ 48 after 3 months, 21/48 after one year. Conclusions: Esophageal variceal obliteration by EST or EVL in-creases the frequency of PHG and GV, both PHG and GV have potential to cause rebleeding.更多还原