ENDOSCOPIC CLASSIFICATION OF GASTRIC VARICES

被引:160
作者
HASHIZUME, M
KITANO, S
YAMAGA, H
KOYANAGI, N
SUGIMACHI, K
机构
[1] Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka
关键词
D O I
10.1016/S0016-5107(90)71023-1
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Endoscopic observations of gastric varices in 124 patients were classified according to form, location, and color. Form was classified into three types: tortuous (F1), nodular (F2), and tumorous (F3). Location was classified into five types: anterior (La), posterior (Lp), lesser (LI) and greater curvature (Lg) of the cardia, and fundic area (Lf). Color was white (Cw) or red (Cr). Glossy, thin-walled focal redness on the varix was defined as red color spot (RC spot). Stepwise logistic regression analysis for multivariate adjustments was performed for all of the endoscopic covariates, and four risk factors (La, Lg, F2, RC spot) that affect bleeding from gastric varices were independently identified. This classification should aid in assessing gastric varices observed by fiberoptic endoscopy and help design appropriate treatment. © 1990, American Society for Gastrointestinal Endoscopy. All rights reserved.
引用
收藏
页码:276 / 280
页数:5
相关论文
共 18 条
[1]  
[Anonymous], 1980, Jpn J Surg, V10, P84
[2]   PREDICTION OF VARICEAL HEMORRHAGE BY ESOPHAGEAL ENDOSCOPY [J].
BEPPU, K ;
INOKUCHI, K ;
KOYANAGI, N ;
NAKAYAMA, S ;
SAKATA, H ;
KITANO, S ;
KOBAYASHI, M .
GASTROINTESTINAL ENDOSCOPY, 1981, 27 (04) :213-218
[3]  
BUSET M, 1987, AM J GASTROENTEROL, V82, P241
[4]  
DIXON WJ, 1985, BMDP STATISTICAL SOF, P143
[5]  
HASHIZUME M, 1983, HEPATOLOGY, V3, P1008
[6]   3-DIMENSIONAL VIEW OF THE VASCULAR STRUCTURE OF THE LOWER ESOPHAGUS IN CLINICAL PORTAL-HYPERTENSION [J].
HASHIZUME, M ;
KITANO, S ;
SUGIMACHI, K ;
SUEISHI, K .
HEPATOLOGY, 1988, 8 (06) :1482-1487
[7]  
HASSAB MA, 1967, SURGERY, V61, P169
[8]   GASTRIC VARICES - A PROPOSED CLASSIFICATION LEADING TO MANAGEMENT [J].
HOSKING, SW ;
JOHNSON, AG .
BRITISH JOURNAL OF SURGERY, 1988, 75 (03) :195-196
[9]   GASTRIC-LESIONS IN PORTAL-HYPERTENSION - INFLAMMATORY GASTRITIS OR CONGESTIVE GASTROPATHY [J].
MCCORMACK, TT ;
SIMS, J ;
EYREBROOK, I ;
KENNEDY, H ;
GOEPEL, J ;
JOHNSON, AG ;
TRIGER, DR .
GUT, 1985, 26 (11) :1226-1232
[10]  
OHNISHI K, 1985, AM J GASTROENTEROL, V80, P561