WordNet
- abnormally enlarged or twisted blood vessel or lymphatic vessel
- relating to the esophagus
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- 1. 急性静脈瘤出血患者における止血法 methods to achieve hemostasis in patients with acute variceal hemorrhage
- 2. 肝硬変患者における静脈瘤出血に対する一次予防および静脈瘤形成予防 primary and pre primary prophylaxis against variceal hemorrhage in patients with cirrhosis
- 3. 肝硬変患者における静脈瘤出血再発の防止 prevention of recurrent variceal hemorrhage in patients with cirrhosis
- 4. Techniques and devices for airway management for anesthesia: Supraglottic devices (including laryngeal mask airways)
- 5. 限局進行性の切除不能（手術不能）食道癌のマネージメント management of locally advanced unresectable and inoperable esophageal cancer
English Journal
- Cerebral and splenic infarctions after injection of N-butyl-2-cyanoacrylate in esophageal variceal bleeding.
- Myung DS, Chung CY, Park HC, Kim JS, Cho SB, Lee WS, Choi SK, Joo YE.SourceDae-Seong Myung, Cho-Yun Chung, Hyung-Chul Park, Jong-Sun Kim, Sung-Bum Cho, Wan-Sik Lee, Sung-Kyu Choi, Young-Eun Joo, Department of Internal Medicine, Chonnam National University Medical School, Gwangju 501-757, South Korea.
- World journal of gastroenterology : WJG.World J Gastroenterol.2013 Sep 14;19(34):5759-62. doi: 10.3748/wjg.v19.i34.5759.
- Variceal bleeding is the most serious complication of portal hypertension, and it accounts for approximately one fifth to one third of all deaths in liver cirrhosis patients. Currently, endoscopic treatment remains the predominant method for the prevention and treatment of variceal bleeding. Endosco
- PMID 24039373
- Case of idiopathic portal hypertension complicated with autoimmune hepatitis.
- Abe K, Takahashi A, Sato Y, Okai K, Katsushima F, Monoe K, Kanno Y, Saito H, Ohira H.SourceDepartment of Gastroenterology and Rheumatology, Fukushima Medical University School of Medicine, Fukushima, Japan.
- Hepatology research : the official journal of the Japan Society of Hepatology.Hepatol Res.2013 Sep;43(9):984-90. doi: 10.1111/hepr.12038. Epub 2013 May 15.
- We report a case of idiopathic portal hypertension (IPH) complicated with autoimmune hepatitis. A 60-year-old woman was admitted to our hospital with esophageal and gastric varices in February 2010. Abdominal ultrasonography and computed tomography showed splenomegaly and collateral veins without ev
- PMID 23675841
- Effect of Helicobacter pylori infection on esophagogastric variceal bleeding in patients with liver cirrhosis and portal hypertension.
- Sakamoto Y, Oho K, Toyonaga A, Kumamoto M, Haruta T, Inoue H, Emori K, Tsuruta O, Sata M.SourceDivision of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume, Fukuoka, Japan; Division of GI Endoscopy, Digestive Disease Center, Kurume University Hospital, Kurume, Fukuoka, Japan.
- Journal of gastroenterology and hepatology.J Gastroenterol Hepatol.2013 Sep;28(9):1444-9. doi: 10.1111/jgh.12221.
- BACKGROUND AND AIMS: Bleeding from esophageal and gastric varices is a fatal event in patients with liver cirrhosis and portal hypertension. However, the effects of Helicobacter pylori (H. pylori) infection on esophagogastric variceal bleeding are not known. The present study was aimed to elucidat
- PMID 23577833
Japanese Journal
- 肝細胞癌の治療中に自己免疫性溶血性貧血を発症した1例
- 医学検査 65(1), 51-54, 2016
- NAID 130005133681
- 肝硬変患者の合併症の疫学 (特集 非代償性肝硬変の合併症と予後)
- 消化器内科 59(3), 242-247, 2014-09
- NAID 40020212681
- 内視鏡治療を施行した乳児食道静脈瘤の2例
- Progress of Digestive Endoscopy 84(1), 84-85, 2014
- NAID 130004985535
Related Links
- 食道静脈瘤（しょくどう・じょうみゃくりゅう、Esophageal varix(単数) / 複数は varices ） とは、主に食道粘膜下層の静脈が拡張・蛇行し、瘤状に隆起して静脈瘤を形成したもの を指す。 Radiology 0045 Nevit.jpg ...
- In medicine (gastroenterology), esophageal varices (or oesophageal varices) are extremely dilated sub-mucosal veins in the lower third of the esophagus. They are most often a consequence of portal hypertension, commonly due to cirrhosis; ...
Related Pictures
★リンクテーブル★
| リンク元 | 「食道静脈瘤」「esophageal and gastric varices」 |
| 関連記事 | 「varix」「esophageal」 |
「食道静脈瘤」
病態
検査
上部消化管内視鏡検査
- 日本では形態(form, F)F2以上や発赤所見(red color sign, RC)RC2以上が危険な静脈瘤として予防的治療の適応となっている(SSUR.645)
- 青色静脈瘤、連珠状静脈瘤(F2)以上、red color sign陽性は治療対象(QB.A-341)
内視鏡所見の分類
- 参考3
| F:form 形態 |
F0 静脈瘤として認められないもの F1 直線的な細いもの F2 連珠状、中等度 F3 結節状、腫瘤状 |
| C: color 色調 |
Cw (白色静脈) Cb (青色静脈) |
| RC:red color sign 発赤所見 |
Red color sign(RC) ミミズ腫れ所見 red wale marking (RWM) サクランボ様発赤 cherry red spot様所見 (CRS) 血マメ所見 hematocystic spot (HCS) |
- F3, red color sign [show details]
治療
- SSUR.649-
- バルーンタンポナーデ法
- 薬物療法
- 内視鏡的治療
- interventional radiology, IVR
- 経皮経肝的経静脈瘤塞栓術 PTO、経回腸静脈的静脈瘤塞栓術 TIO
- 経皮的肝内門脈シャント術 transjugular intrahepatic portosystemic shunt TIPS
- バルーン下逆行性経静脈的塞栓術 balloon-occluded retrograde transvenous obliteration B-RTO
- 手術療法
予後
- 予後不良
- 血小板減少：止血が困難となるため
- 肝硬変：総ビリルビン4mg/dl以上では硬化療法が選択できないため
参考
- フリーPDF有り
- 1. 食道静脈瘤内視鏡所見記載基準 (日本門脈圧亢進症研究会)
- 井口 潔
- 日本消化器外科学会雑誌 13(4), 338-340, 1980-04-01
- NAID 110001359486
- 2. [charged] Primary prophylaxis against variceal hemorrhage in patients with cirrhosis - uptodate [1]
- 3. 消化器基本画像集
- 大変勉強になる資料です！！
- http://www.pariet.jp/alimentary/picture.html
「esophageal and gastric varices」
「varix」
- n.
「esophageal」
- adj.
- 食道性の、食道の