Consensus on hemodynamic classification and clinical management of gastric varices

doi:10.3877/cma.j.issn.2095-2015.2022.06.002

Abstract

Abstract:

Gastric varices(GV), as one of the complications of portal hypertension, has a lower incidence than esophageal varices, but bleeding from GV is not easy to control and 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 formulate an individualized treatment strategy for GV bleeding, the Minimally Invasive Intervention Collaboration Group of the Gastroenterology Branch of the Chinese Medical Association invites some experts in this field to formulate this consensus.

Key words: Portal hypertension, Gastric varices, Hemodynamics, Clinical treatment

Minimally Invasive Intervention Collaboration Group of the Gastroenterology Branch of the Chinese Medical Association. Consensus on hemodynamic classification and clinical management of gastric varices[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2022, 12(06): 325-333.

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References 76

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证据质量
高(A)	进一步研究不可能改变对该疗效评估结果的可信度
中(B)	进一步研究有可能影响该疗效评估结果的可信度，且可能改变该评估结果
低或非常低(C)	进一步研究很有可能影响该疗效评估结果的可信度，且很可能改变该评估结果
推荐强度等级
强(1)	明确显示干预措施利大于弊或弊大于利
弱(2)	利弊不确定或无论质量高低的证据均显示利弊相当

证据质量
高(A)	进一步研究不可能改变对该疗效评估结果的可信度
中(B)	进一步研究有可能影响该疗效评估结果的可信度，且可能改变该评估结果
低或非常低(C)	进一步研究很有可能影响该疗效评估结果的可信度，且很可能改变该评估结果
推荐强度等级
强(1)	明确显示干预措施利大于弊或弊大于利
弱(2)	利弊不确定或无论质量高低的证据均显示利弊相当

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