ACR Appropriateness Criteria® Radiologic Management of Gastric Varices.
| Autor: | Kim CY; Duke University Medical Center, Durham, North Carolina. Electronic address: charles.kim@duke.edu., Pinchot JW; Panel Chair, University of Wisconsin, Madison, Wisconsin., Ahmed O; University of Chicago, Chicago, Illinois., Braun AR; St Elizabeth Regional Medical Center, Lincoln, Nebraska., Cash BD; University of Texas Health Science Center at Houston and McGovern Medical School, Houston, Texas; American Gastroenterological Association., Feig BW; The University of Texas MD Anderson Cancer Center, Houston, Texas; American College of Surgeons., Kalva SP; Massachusetts General Hospital, Boston, Massachusetts., Knavel Koepsel EM; Mayo Clinic, Rochester, Minnesota., Scheidt MJ; Froedtert & The Medical College of Wisconsin, Milwaukee, Wisconsin., Schramm K; University of Colorado Denver Anschutz Medical Campus, Aurora, Colorado., Sella DM; Mayo Clinic, Jacksonville, Florida., Weiss CR; Johns Hopkins Bayview Medical Center, Baltimore, Maryland., Hohenwalter EJ; Specialty Chair, Froedtert & The Medical College of Wisconsin, Milwaukee, Wisconsin. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2020 May; Vol. 17 (5S), pp. S239-S254. |
| DOI: | 10.1016/j.jacr.2020.01.017 |
| Abstrakt: | Hemorrhage, resulting from gastric varies, can be challenging to treat, given the various precipitating etiologies. A wide variety of treatment options exist for managing the diverse range of the underlying disease processes. While cirrhosis is the most common cause for gastric variceal bleeding, occlusion of the portal or splenic vein in noncirrhotic states results in a markedly different treatment paradigm. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. (Copyright © 2020 American College of Radiology. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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