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[复发性出血性空肠静脉曲张的栓塞治疗]

[Embolization of recurrent bleeding jejunal varices].

作者信息

Robert B, Yzet T, Bartoli E, M'bayo D, Dupas J-L, Nguyen-Khac E

机构信息

Service d'imagerie médicale, CHU d'Amiens, place Victor-Pauchet, 80054 Amiens cedex 01, France.

出版信息

Gastroenterol Clin Biol. 2010 Jan;34(1):100-3. doi: 10.1016/j.gcb.2009.11.001. Epub 2010 Jan 6.

DOI:10.1016/j.gcb.2009.11.001
PMID:20056367
Abstract

We report a case of recurrent digestive haemorrhage due to bleeding ectopic jejunal varices complicating portal hypertension in a 51-year-old cirrhotic patient, treated 1 year ago by transjugular intrahepatic porto-systemic shunt (TIPS) for the same problem. Successful embolisation with coils, of ectopic varices, was performed using original transjugular and trans-TIPS route, without complication, and no recurrence during a follow-up of 24 months.

摘要

我们报告一例51岁肝硬化患者，因门静脉高压并发空肠异位静脉曲张导致反复消化道出血。该患者1年前曾因同样问题接受经颈静脉肝内门体分流术（TIPS）治疗。采用经颈静脉和经TIPS的原始途径，成功用弹簧圈栓塞异位静脉曲张，无并发症发生，在24个月的随访期间无复发。

相似文献

1
[Embolization of recurrent bleeding jejunal varices].[复发性出血性空肠静脉曲张的栓塞治疗]
Gastroenterol Clin Biol. 2010 Jan;34(1):100-3. doi: 10.1016/j.gcb.2009.11.001. Epub 2010 Jan 6.
2
Bleeding ectopic varices--treatment with transjugular intrahepatic porto-systemic shunt (TIPS) and embolisation.出血性异位静脉曲张——经颈静脉肝内门体分流术（TIPS）及栓塞治疗
J Hepatol. 2004 Oct;41(4):560-6. doi: 10.1016/j.jhep.2004.06.024.
3
Outcome of 100 patients after transjugular intrahepatic portosystemic shunt for variceal hemorrhage.100例患者经颈静脉肝内门体分流术治疗静脉曲张出血后的结局
Am J Gastroenterol. 1997 Sep;92(9):1444-52.
4
[Embolization of esophageal varices by the transjugular route in severe digestive hemorrhage in cirrhotic patients. Prospective study of 83 patients].
Gastroenterol Clin Biol. 1985 Nov;9(11):814-8.
5
Usefulness of transjugular intrahepatic portosystemic shunt in the management of bleeding ectopic varices in cirrhotic patients.经颈静脉肝内门体分流术在肝硬化患者异位静脉曲张出血管理中的应用价值。
Cardiovasc Intervent Radiol. 2006 Mar-Apr;29(2):216-9. doi: 10.1007/s00270-004-0346-4.
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Ectopic varices in the gastrointestinal tract: short- and long-term outcomes of percutaneous therapy.胃肠道异位静脉曲张：经皮治疗的短期和长期结果
Cardiovasc Intervent Radiol. 2005 Mar-Apr;28(2):178-84. doi: 10.1007/s00270-004-0148-8.
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Emergent treatment of variceal bleeding in two infants.两名婴儿静脉曲张出血的紧急治疗
Acta Radiol. 2008 Oct;49(8):951-4. doi: 10.1080/02841850802342466.
8
Transjugular intrahepatic portosystemic shunt versus endoscopic sclerotherapy for the prevention of variceal bleeding in cirrhosis: a randomized multicenter trial. Gruppo Italiano Studio TIPS (G.I.S.T.).经颈静脉肝内门体分流术与内镜硬化治疗预防肝硬化静脉曲张出血的随机多中心试验。意大利经颈静脉肝内门体分流术研究组（G.I.S.T.）
Hepatology. 1998 Jan;27(1):48-53. doi: 10.1002/hep.510270109.
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[Therapeutic efficacy of transjugular intrahepatic portosystemic shunt on bleeding gastric varices].经颈静脉肝内门体分流术治疗胃底静脉曲张出血的疗效
Taehan Kan Hakhoe Chi. 2002 Dec;8(4):448-57.
10
Embolization combined with endoscopic variceal ligation for the treatment of esophagogastric variceal bleeding in patients with cirrhosis.栓塞术联合内镜下静脉曲张结扎术治疗肝硬化患者食管胃静脉曲张出血
Chin Med J (Engl). 2007 Jan 5;120(1):36-40.

引用本文的文献

1
A 55-Year-Old Man with Recurrent Gastrointestinal Bleeding Due to Stricture of the Portal Vein Anastomotic Site 12 Years After Combined Pancreas and Kidney Transplantation.一位 55 岁男性，在联合胰腺和肾移植术后 12 年因门静脉吻合口狭窄导致反复胃肠道出血。
Am J Case Rep. 2022 Apr 19;23:e936148. doi: 10.12659/AJCR.936148.
2
Jejunal variceal bleeding successfully treated with percutaneous coil embolization.经皮线圈栓塞术成功治疗空肠静脉曲张出血。
J Korean Med Sci. 2012 Mar;27(3):321-4. doi: 10.3346/jkms.2012.27.3.321. Epub 2012 Feb 23.