胃静脉曲张超声内镜引导弹簧圈栓塞术专家共识（2025，杭州）

Chinese expert consensus on endoscopic ultrasound?guided coil embolization for gastric varices (2025, Hangzhou)

摘要:

胃静脉曲张破裂出血是肝硬化门静脉高压患者的主要死因之一，内镜下组织胶注射是胃静脉曲张的主要治疗手段，但存在操作较难、疗效欠佳、风险较高等临床问题。超声内镜引导弹簧圈栓塞术治疗胃静脉曲张具有独到的精准优势，临床应用日趋广泛，但尚无专门的指南、共识指导临床实践。2025年，中华医学会消化内镜学分会超声内镜学组、中华医学会消化内镜学分会肝病协作组共同组织全国相关领域的权威专家进行充分讨论，联合制定了本共识，共识围绕10个核心临床问题形成26条陈述意见，旨在规范胃静脉曲张超声内镜引导弹簧圈栓塞术的临床应用，指导医师顺利、安全、高效地开展该项临床新技术。

Abstract:

Gastric variceal bleeding is one of the leading causes of death in cirrhotic patients with portal hypertension. Endoscopic cyanoacrylate injection serves as the primary treatment for gastric varices, but faces clinical challenges such as technical difficulty, suboptimal efficacy, and relatively high risks. Endoscopic ultrasound (EUS)-guided coil embolization is increasingly used in clinical practice due to unique advantages in precision, however, no specific guidelines or consensus statements are available to standardize its clinical application. In 2025, EUS Study Group and Liver Disease Collaboration Group of Digestive Endoscopy Branch of Chinese Medical Association organized extensive discussions among national authoritative experts and jointly developed this consensus. It addresses 10 core clinical issues with 26 statement recommendations, aiming to standardize the clinical practice of EUS-guided coil embolization for gastric varices and to guide physicians in performing this novel technique safely, smoothly, and effectively.