• 结肠憩室出血内镜诊疗现状
  • Current status of endoscopic treatment for colonic diverticular hemorrhage
  • 韩平.结肠憩室出血内镜诊疗现状[J].内科急危重症杂志,2022,28(1):15-19
    DOI:10.11768/nkjwzzzz20220103
    中文关键词:  结肠憩室出血  下消化道出血  内镜治疗  套扎  金属夹
    英文关键词:
    基金项目:国家自然科学基金项目
    作者单位E-mail
    韩平 华中科技大学同济医学院附属同济医院消化内科 yanwei@tjh.tjmu.edu.cn 
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    中文摘要:
          急性结肠憩室出血(CDH)是成人下消化道大出血的最常见原因,其诊断、治疗和预防是消化科医生临床中面临的一个重大挑战。既往认为,CDH往往需要血管介入或外科手术治疗,但随着内镜技术的进步,尤其是在日本胃肠病学协会的牵头下,涌现了许多内镜下治疗结肠憩室出血方法的研究报告。本文对CDH内镜诊断和内镜治疗的新方法和进展作一综述。
    英文摘要:
          Acute colonic diverticular hemorrhage (CDH) is the most common cause of overt lower gastrointestinal bleeding in adults. The diagnosis, treatment, and prevention of CDH represent a significant challenge for gastroenterologists. Acute CDB has been thought to be a severe situation that necessitates transarterial embolization (TAE) or surgical intervention. However, with the continuous progress of endoscopic technology, especially under the guidance of the Japan Gastroenterological Association, many reports on endoscopic treatment of CDH have been reported. This review focuses on the new progress of endoscopic diagnosis and treatment of CDH in recent years, so as to provide a new clinical diagnosis and treatment strategy for CDH.