儿童食管胃静脉曲张的内镜下诊断及治疗

Endoscopic diagnosis and treatment ofgastroesophageal varices in children

食管胃静脉曲张及其破裂出血,是常见的消化道急症之一。胃镜是筛查食管胃静脉曲张及评估出血风险的金标准,内镜下治疗包括内镜下硬化剂注射术、内镜下曲张静脉套扎术、组织黏合剂(组织胶)注射等方法,文章对儿童食管胃静脉曲张的内镜下诊断及治疗方法进行阐述,以供临床借鉴。

Lower gastrointestinal bleeding typically refers to bleeding from the intestines below the Trietz ligament,which includes small intestine bleeding and colon bleeding.It is relatively common in children,and although there is relatively less research on lower gastrointestinal bleeding compared to upper gastrointestinal bleeding,and there are few guiding documents and consensus.With the rapid development of pediatric endoscopy technology in recent years,especially small bowel endoscopy,capsule endoscopy,and various endoscopic treatment methods,most children with lower gastrointestinal bleeding can be effectively diagnosed and treated.However,there are still a few cases that are difficult to diagnose and treat clinically.This article summarizes the clinical evaluation,diagnosis,and treatment methods of pediatric lower gastrointestinal bleeding,aiming to standardize the diagnosis and treatment process of pediatric lower gastrointestinal bleeding.