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1
Post-gastrectomy spleen enlargement and esophageal varices: distal vs total gastrectomy.胃切除术后脾肿大和食管静脉曲张：远端胃切除术与全胃切除术。
World J Gastroenterol. 2010 Jun 14;16(22):2801-5. doi: 10.3748/wjg.v16.i22.2801.
2
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Platelet count to spleen diameter ratio for the diagnosis of esophageal varices: Is it feasible?血小板计数与脾脏直径之比用于诊断食管静脉曲张：可行吗？
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Application of the platelet count/spleen diameter ratio to rule out the presence of oesophageal varices in patients with cirrhosis: a validation study based on follow-up.血小板计数/脾脏直径比值在排除肝硬化患者食管静脉曲张中的应用：一项基于随访的验证研究
Dig Liver Dis. 2005 Oct;37(10):779-85. doi: 10.1016/j.dld.2005.05.007.
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Elastography, spleen size, and platelet count identify portal hypertension in patients with compensated cirrhosis.弹性成像、脾脏大小和血小板计数可用于诊断代偿性肝硬化患者的门静脉高压。
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Can we consider the right hepatic lobe size/albumin ratio a noninvasive predictor of oesophageal varices in hepatitis C virus-related liver cirrhotic Egyptian patients?我们能否将右肝叶大小/白蛋白比值视为丙型肝炎病毒相关肝硬化埃及患者食管静脉曲张的非侵入性预测指标？
Eur J Intern Med. 2012 Apr;23(3):267-72. doi: 10.1016/j.ejim.2011.11.010. Epub 2011 Dec 10.

本文引用的文献

1
Platelet count to spleen diameter ratio for the diagnosis of esophageal varices: Is it feasible?血小板计数与脾脏直径之比用于诊断食管静脉曲张：可行吗？
Can J Gastroenterol. 2008 Oct;22(10):825-8. doi: 10.1155/2008/287274.
2
The natural history of cirrhosis. I. Survival with esophageal varices.肝硬化的自然病史。I. 伴有食管静脉曲张的生存情况。
N Engl J Med. 1963 Feb 28;268:469-73. doi: 10.1056/NEJM196302282680905.
3
Non-invasive predictors of the presence of large oesophageal varices in patients with cirrhosis.肝硬化患者食管大静脉曲张存在情况的无创预测指标
Dig Liver Dis. 2003 Jul;35(7):473-8. doi: 10.1016/s1590-8658(03)00219-6.
4
Platelet count/spleen diameter ratio: proposal and validation of a non-invasive parameter to predict the presence of oesophageal varices in patients with liver cirrhosis.血小板计数/脾脏直径比值：一种预测肝硬化患者食管静脉曲张存在的非侵入性参数的提出与验证
Gut. 2003 Aug;52(8):1200-5. doi: 10.1136/gut.52.8.1200.
5
Endoscopic screening for varices in cirrhosis: findings, implications, and outcomes.肝硬化患者静脉曲张的内镜筛查：发现、意义及结果
Gastroenterology. 2002 May;122(6):1620-30. doi: 10.1053/gast.2002.33419.
6
Japanese Classification of Gastric Carcinoma - 2nd English Edition -.日本胃癌分类 - 第二英文版 -
Gastric Cancer. 1998 Dec;1(1):10-24. doi: 10.1007/s101209800016.
7
Prediction of esophageal varices in patients with cirrhosis.肝硬化患者食管静脉曲张的预测
J Clin Gastroenterol. 2002 Jan;34(1):81-5. doi: 10.1097/00004836-200201000-00016.
8
Natural history of portal hypertension in patients with cirrhosis.肝硬化患者门静脉高压的自然病程。
Clin Liver Dis. 2001 Aug;5(3):645-63. doi: 10.1016/s1089-3261(05)70186-0.
9
Which patients with cirrhosis should undergo endoscopic screening for esophageal varices detection?哪些肝硬化患者应接受内镜检查以筛查食管静脉曲张？
Hepatology. 2001 Feb;33(2):333-8. doi: 10.1053/jhep.2001.21410.
10
Factors predicting the presence of esophageal or gastric varices in patients with advanced liver disease.预测晚期肝病患者食管或胃静脉曲张存在的因素。
Am J Gastroenterol. 1999 Nov;94(11):3292-6. doi: 10.1111/j.1572-0241.1999.01540.x.

胃切除术后脾肿大和食管静脉曲张：远端胃切除术与全胃切除术。

Post-gastrectomy spleen enlargement and esophageal varices: distal vs total gastrectomy.

机构信息

Department of Surgery, Social Insurance Yokohama Central Hospital, 268 Yamashita-cho, Naka-ku, Yokohama 231-8553, Japan.

出版信息

World J Gastroenterol. 2010 Jun 14;16(22):2801-5. doi: 10.3748/wjg.v16.i22.2801.

DOI:10.3748/wjg.v16.i22.2801
PMID:20533601
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2883137/
Abstract

AIM

To study the relationship between platelet count-to-spleen diameter ratio and post-gastrectomy esophageal varices (EVs) development in patients without liver cirrhosis or hepatitis.

METHODS

We retrospectively studied 92 patients who underwent gastrectomy. They were divided into 2 groups on the basis of the surgical treatment: the distal gastrectomy (DG) group and total gastrectomy (TG) group. The incidence of EVs was determined and postoperative platelet counts, spleen diameters, and platelet count-to-spleen diameter ratios were compared between the 2 groups.

RESULTS

EVs were not detected during the first 6 mo after surgery in either group; however, at 12 mo after surgery, EVs were detected in 2 patients (3%) in the DG group and in 1 patient (3.6%) in the TG group; their mean platelet count-to-spleen diameter ratio was 2628 +/- 409, and 2604 +/- 360, respectively.

CONCLUSION

Endoscopy should be performed to detect EVs when the platelet count-to-spleen diameter ratio is < 2600.

摘要

目的

研究无肝硬化或肝炎的患者血小板计数与脾径比值与胃切除术后食管静脉曲张（EVs）发展之间的关系。

方法

我们回顾性研究了 92 例接受胃切除术的患者。根据手术治疗将他们分为两组：远端胃切除术（DG）组和全胃切除术（TG）组。确定 EVs 的发生率，并比较两组患者术后血小板计数、脾径和血小板计数与脾径比值。

结果

两组患者术后 6 个月内均未检测到 EVs；然而，在术后 12 个月时，DG 组有 2 例（3%）患者和 TG 组有 1 例（3.6%）患者检测到 EVs；他们的平均血小板计数与脾径比值分别为 2628±409 和 2604±360。

结论

当血小板计数与脾径比值<2600 时，应进行内镜检查以检测 EVs。