문맥압 항진성 위병증 및 기타 출혈 관리
분야
의약학 > 내과학
저자
정우진 ( Woo Jin Chung )
발행기관
대한간학회
간행물정보
Postgraduate Courses (PG) 2012년, 제2012권 제1호, 66~72페이지(총7페이지)
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27405432.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    A major cause of cirrhosis related morbidity and mortality is the development of variceal bleeding, a direct consequence of portal hypertension. Less common causes of gastrointestinal bleeding are peptic ulcers, malignancy, angiodysplasia, etc. Upper gastrointestinal bleeding has been classified according to the presence of a variceal or non-variceal bleeding. Althought non-variceal gastrointestinal bleeding is not uncommon in cirrhotic patients, gastroduodenal ulcers may develop as often as non-cirrhotic patients. Ulcers in cirrhotic patients may be more severe and less frequently associated with chronic intake of non-steroidal anti-inflammatory drugs, and may require more frequently endoscopic treatment. Portal hypertensive gastropathy (PHG) refer to changes in the mucosa of the stomach in patients with portal hypertension. Patients with portal hypertension may experience bleeding from the stomach, and pharmacologic or radiologic interventional procedure may be useful in preventing re-bleeding from PHG. Gastric antral vascular ectasia (GAVE) seems to be different disease entity from PHG, and endoscopic ablation can be the first-line treatment.
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