Piccinni Giuseppe, Angrisano Anna, Marzullo Andrea, Nacchiero Michele
Department of Application in Surgery of Innovative Technologies, University of Bari, Bari, Italy.
J Laparoendosc Adv Surg Tech A. 2006 Jun;16(3):294-6. doi: 10.1089/lap.2006.16.294.
Portal hypertensive duodenopathy is a rare condition related to liver cirrhosis; there is little in the literature about its clinical significance and management. It seems to be endoscopically and histologically similar to portal hypertensive gastropathy, which is well defined. We report the case of a patient, initially treated for acute bleeding resulting from the rupture of esophageal varices, who developed an atypical endoscopic picture of portal hypertensive duodenopathy over a 6-month period. After microscopic definition of the disease we found chronic bleeding which required blood transfusions. Medical treatment did not solve the problem. We describe an approach using the argon plasma coagulator.
门静脉高压性十二指肠病是一种与肝硬化相关的罕见病症；关于其临床意义和治疗，文献记载甚少。它在内镜检查和组织学上似乎与已明确界定的门静脉高压性胃病相似。我们报告一例患者，最初因食管静脉曲张破裂导致急性出血接受治疗，在6个月的时间里出现了门静脉高压性十二指肠病的非典型内镜表现。在对该病进行微观定义后，我们发现了需要输血的慢性出血。药物治疗未能解决问题。我们描述了一种使用氩等离子体凝固器的治疗方法。
