永島 一憲先生の論文が、Diagnostics誌(Journal Citation Reports Impact Factor 2019 = 3.110)にpublishされました。
Diagnostics 2020 Nov 10(12)
The Role of Endoscopic Ultrasound for Esophageal Varices
Kazunori Nagashima, Atsushi Irisawa, Keiichi Tominaga, Ken Kashima, Yasuhito Kunogi, Takahito Minaguchi, Naoya Izawa, Akira Yamamiya, Akane Yamabe, Koki Hoshi, Kenichi Goda, Makoto Iijima
PMID: 33255736 DOI: 10.3390/diagnostics10121007
Esophageal varices are caused by the development of collateral circulation in the esophagus as a result of portal hypertension. It is important to administer appropriate preventive treatment because bleeding varices can be fatal. Esophageal varices have complex and diverse hemodynamics, and there are various variations for each case. Endoscopic ultrasound (EUS) can estimate the hemodynamics of each case. Therefore, observation by EUS in esophageal varices provides useful information, such as safe and effective treatment selection, prediction of recurrence, and appropriate follow-up after treatment. Although treatment for the esophagogastric varices can be performed without EUS imaging, understanding the local hemodynamics of the varices using EUS prior to treatment will lead to more safe and effective treatment. EUS observation is an indispensable tool for thorough variceal care.
Keywords: esophageal varices; endoscopic ultrasound; hemodynamics; endoscopic injection sclerotherapy; endoscopic variceal ligation.