Endoscopic Ultrasonography-Guided Hemostasis Techniques.
Autor: | Artifon ELA; Department of Surgery, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 255 - Cerqueira César, São Paulo, São Paulo 05403-000, Brazil. Electronic address: eartifon@hotmail.com., Marson FP; Department of Surgery, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 255 - Cerqueira César, São Paulo, São Paulo 05403-000, Brazil., Khan MA; Department of Gastroenterology and Hepatology, University of Tennessee Health Science Center, 956 Court Avenue, Suite H 314, Memphis, TN 38163, USA. |
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Jazyk: | angličtina |
Zdroj: | Gastrointestinal endoscopy clinics of North America [Gastrointest Endosc Clin N Am] 2017 Oct; Vol. 27 (4), pp. 741-747. |
DOI: | 10.1016/j.giec.2017.06.011 |
Abstrakt: | Endoscopic ultrasonography (EUS)-guided hemostasis is an evolving technique that has the potential to improve the care of patients with refractory variceal and nonvariceal gastrointestinal bleeding. EUS-guided treatment of fundal varices with coil and/or cyanoacrylate seems to be highly effective in active bleeding, as well as for primary and secondary bleeding prophylaxis. Reports of EUS-guided treatment of refractory nonvariceal sources of bleeding are more scarce, but show high success rates. The procedures involve a medium to high technical difficulty level, and this has been replicated worldwide. (Copyright © 2017 Elsevier Inc. All rights reserved.) |
Databáze: | MEDLINE |
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