胃静脉曲张血流动力学分型与临床处理专家共识

Consensus on Hemodynamic Classification and Clinical Management of Gastric Varices

胃静脉曲张(GV)是门静脉高压的并发症之一,其发生率虽较食管静脉曲张低,但出血不易控制,再出血率和病死率高。GV有着不同于食管静脉曲张的血管解剖学和血流动力学特点,与其特点相对应,GV有其特殊临床处理策略。为加深对GV血流动力学特征的认识,指导临床医师制订GV出血的个体化治疗策略,中华医学会消化病学分会消化微创介入协作组邀请该领域部分专家制定本共识。

Gastric varices(GV)is one of the complications of portal hypertension,it has a lower incidence than esophageal varices,but bleeding from GV is not easy to control,and GV is associated with a high rebleeding rate and high mortality.GV has different characteristics of vascular anatomy and hemodynamics from esophageal varices,with a unique corresponding clinical management strategy.In order to deepen the understanding of GV hemodynamic characteristics and develop an individualized treatment strategy for GV bleeding,Digestive Minimally Invasive Intervention Collaborative Group,Chinese Society of Gastroenterology,Chinese Medical Association invited experts in this field to develop this consensus.