肝硬化门静脉高压消化道静脉曲张内镜下组织胶注射治疗专家共识（2022，长沙）

-12中华消化内镜杂志2023年1月第40卷第1期Chin J Dig Endose,January2023,Val.40.No.1共识与指南·肝硬化门静脉高压消化道静脉曲张内镜下组织胶注射治疗专家共识(2022，长沙)中华医学会消化内镜学分会食管胃静脉曲张内镜诊断与治疗学组通信作者：令狐思强，解放军总医院第一医学中心消化内科，北京100853，Email:linghuenqiang(@vip.sina.com;刘德良，中南大学湘雅二医院消化内科，长沙41001l,Email:deliangliu@csu.edu.cn【提要】肝硬化门静脉高压可引起全消化道静脉曲张。内镜下组织胶注射在消化道静脉曲张的治疗中起着重要作用，然而目前国内外尚无规范化治疗的相关共识。2022年，中华医学会消化内镜学分会食管与胃静脉曲张内镜诊断与治疗学组组织全国相关领域权威专家讨论，提出了肝硬化门静脉高压消化道静脉曲张内镜下组织胶注射治疗专家共识，以期规范该技术在消化道静脉曲张中的应用。本共识共分为肝硬化门静脉高压症消化道静脉曲张分型及诊断、组织胶注射治疗消化道静脉曲张的适应证等11个部分，共22条陈述。【关键词】肝硬化：门静脉高压：消化道静脉曲张：内镜下组织胶注射：共识Chinese expert consensus on endoscopic cyanoacrylate injection for gastrointestinal varices withportal hypertension induced by liver cirrhosis(2022,Changsha)Endoscopic Diagnosis and Treatment of Esophagogastric Varices Group of Chinese Society of DigestiveEndoscopology101Corresponding author:Linghu Enqiang,Department of Gastroenterology,The First Medical Center of ChinesePLA General Hospital,Beijing 100853.China,Emaik linghuengiang @vip.sina.com;Liu Deliang,Departmentof Gastroenterology,The Second Xiangya Hospital of Central South University,Changsha 410011,China,Email:deliangliu@esu.edu.enSummary Liver cirrhosis and portal hypertension may cause gastrointestinal varices.Endoscopic cyanoacrylate injection plays an important role in the treatment of gastrointestinal varices.However,no specific consensus on endoscopic cyanoacrylate injection home and abroad has been published.In 2022,authoritative experts in relative field all over the country under the leadership of EndoscopicDiagnosis and Treatment of Esophagogastric Varices Group of Chinese Society of Digestive Endoscopologyconducted a comprehensive discussion and proposed the consensus,to serve as a tool for Chinese cliniciansto standardize endoscopic cyanoacrylate injection treatment for gastrointestinal varices.There are 11 parts inthe consensus,with a total of 22 recommendations,including grading and diagnosis of gastrointestinalvarices,indication of endoscopic cyanoacrylate injection,etc.Key words Liver cirrhosis:Portal hypertension:Gastrointestinal varices;Endoscopiccyanoacrylate injection:Guideline门静脉高压症(portal hypertension,PH)是指各种原因肝硬化为主要原因。门静脉高压症可引起腹水、食管胃所致的门静脉系统压力升高所引起的一组临床综合征，可静脉曲张(gastroesophageal varices,G0V)及食管胃静脉曲张分为肝内型及肝外型，其中90%以上为肝内型，肝内型又以出血(esophagogastric variceal bleeding,EGVB)、肝性脑病D01:10.3760/cma.j.cn321463-20221016-00530收稿日期2022-10-16本文编辑钱程唐涌进引用本文：中华医学会消化内镜学分会食管胃静脉曲张内镜诊断与治疗学组.肝硬化门静脉高压消化道静脉曲张内镜下组织胶注射治疗专家共识(2022，长沙)].中华消化内镜杂志，2023,40(1k12-23.D0110.3760/cmaj.cm321463-20221016-00530