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esophageal collateral veins in predicting esophageal variceal recurrence and rebleeding after endoscopic treatment:a systematic review and meta-analysis

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Gastroenterology Report 2020年第5期8卷 355-361,I0001,I0002页

作者： Qian-Qian Li Hong-Yu Li Zhao-Hui Bai Cyriac Abby Philips Xiao-Zhong Guo Xing-Shun Qi Department of Gastroenterology General Hospital of Northern Theater CommandShenyangLiaoningP.R.China Postgraduate College Dalian Medical UniversityDalianLiaoningP.R.China Postgraduate College Shenyang Pharmaceutical UniversityShenyangLiaoningChina The Liver Unit and Monarch Liver Lab Cochin Gastroenterology GroupErnakulam Medical CenterKochiIndia

Background:Endoscopic treatment is recommended for the management of esophageal ***,variceal recurrence or rebleeding is common after endoscopic variceal *** study aimed to systematically evaluate the prevalence of esophageal collateral veins(ECVs)and the association of ECVs with recurrence of esophageal varices or rebleeding from esophageal varices after endoscopic ***:We searched the relevant literature through the PubMed,EMBASE,and Cochrane Library *** of paraesophageal veins(para-EVs),periesophageal veins(peri-EVs),and perforating veins(PVs)were *** ratio(RR)and odds ratio(OR)with 95%confidence intervals(CIs)were calculated for cohort studies and case-control studies,respectively.A random-effects model was *** among studies was ***:Among the 532 retrieved papers,28 were *** pooled prevalence of para-EVs,peri-EVs,and PVs in patients with esophageal varices was 73%,88%,and 54%,*** pooled prevalence of para-EVs and PVs in patients with recurrence of esophageal varices was 87%and 62%,*** risk for recurrence of esophageal varices was significantly increased in patients with PVs(OR=9.79,95%CI:1.95-49.22,P=0.006 for eight case-control studies),but not in those with para-EVs(OR=4.26,95%CI:0.38-38.35,P=0.24 for four case-control studies;RR=1.81,95%CI:0.83-3.97,P=0.14 for three cohort studies).Patients with para-EVs had a significantly higher incidence of rebleeding from esophageal varices(RR=13.00,95%CI:2.43-69.56,P=0.003 for two cohort studies).Statistically significant heterogeneity was notable across the ***:ECVs are common in patients with esophageal *** of ECVs could be helpful for predicting the recurrence of esophageal varices or rebleeding from esophageal varices after endoscopic treatment.

关键词： esophageal collateral veins esophageal varices prevalence rebleeding

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