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肝脏介入治疗后的门静脉高压和梗阻性黄疸:两例罕见并发症报告。

Portal hypertension and obstructive jaundice after hepatic interventions: report of two unusual complications.

作者信息

Peynircioglu Bora, Cho Kyung J, Cwikiel Wojciech

机构信息

Department of Radiology, University of Hacettepe Hospitals, Ankara Tr-06700, Turkey.

出版信息

J Vasc Interv Radiol. 2007 Apr;18(4):567-71. doi: 10.1016/j.jvir.2007.02.003.

DOI:10.1016/j.jvir.2007.02.003
PMID:17446549
Abstract

We report two unusual complications after a transjugular intrahepatic portosystemic shunt and a biliary stent placement, respectively. One patient with cirrhosis and portal hypertension developed obstructive jaundice secondary to compression of the right hepatic duct by a stent graft placed in the transjugular intrahepatic portosystemic shunt. In another patient, biliary stents caused obstruction of the portal vein, resulting in symptomatic portal hypertension. An awareness of these possible complications is important for early diagnosis and appropriate treatment of such complications.

摘要

我们分别报告了经颈静脉肝内门体分流术和胆道支架置入术后的两种罕见并发症。一名患有肝硬化和门静脉高压的患者,因经颈静脉肝内门体分流术置入的支架移植物压迫右肝管,继发梗阻性黄疸。在另一名患者中,胆道支架导致门静脉梗阻,引发有症状的门静脉高压。认识到这些可能的并发症对于此类并发症的早期诊断和适当治疗很重要。

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引用本文的文献

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World J Hepatol. 2022 May 27;14(5):1038-1046. doi: 10.4254/wjh.v14.i5.1038.
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Evolution of the surgical management of perihilar cholangiocarcinoma in a Western centre demonstrates improved survival with endoscopic biliary drainage and reduced use of blood transfusion.西方中心对肝门周围胆管癌的外科治疗的演变表明,内镜胆道引流术可提高生存率,减少输血的使用。
HPB (Oxford). 2011 Jul;13(7):483-93. doi: 10.1111/j.1477-2574.2011.00328.x.
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Portal vein occlusion after biliary metal stent placement in hilar cholangiocarcinoma.
肝门部胆管癌胆管金属支架置入后门静脉闭塞。
Gut Liver. 2008 Jun;2(1):47-50. doi: 10.5009/gnl.2008.2.1.47. Epub 2008 Jun 30.