Frossard Jean Louis, Seirafi Mariam, Spahr Laurent
Division of Gastroenterology and Hepatology, Geneva University Hospital, Geneva, Switzerland.
Case Rep Gastroenterol. 2008 Nov 7;2(3):380-3. doi: 10.1159/000155148.
Esophageal and gastric varices may complicate the course of cirrhosis as a direct consequence of portal hypertension. Variceal hemorrhage has been reported to occur in 25-40% of patients with cirrhosis [Gastroenterol Clin North Am 1992;21:149-161]. Occasionally, varices develop at sites other than the esophagus and are detected either when they bleed or incidentally during upper or lower endoscopy [Eur J Gastroenterol Hepatol 2006;18:1155-1160; Digestion 2000;61:149-150]. Endoscopic treatment is often unsuccessful in these cases, and traditional treatment is usually surgical, while it has been suggested that bleeding can also be controlled by a transjugular intrahepatic portosystemic shunt (TIPS) [Endoscopy 1995;27:626-627]. Moreover, esophageal band ligation may interfere with the collateral web. We here report a case of an ectopic duodenal varix and the development of a large collaterals web that appeared after band ligation.
食管和胃静脉曲张可能作为门静脉高压的直接后果使肝硬化病情复杂化。据报道，25% - 40%的肝硬化患者会发生静脉曲张出血[《北美胃肠病学临床》1992年；21:149 - 161]。偶尔，静脉曲张会出现在食管以外的部位，要么在出血时被发现，要么在上消化道或下消化道内镜检查时偶然被发现[《欧洲胃肠病学与肝脏病学杂志》2006年；18:1155 - 1160；《消化》2000年；61:149 - 150]。在这些病例中，内镜治疗往往不成功，传统治疗通常是手术治疗，而有人提出经颈静脉肝内门体分流术（TIPS）也可以控制出血[《内镜检查》1995年；27:626 - 627]。此外，食管套扎术可能会干扰侧支血管网。我们在此报告一例异位十二指肠静脉曲张病例以及套扎术后出现的大侧支血管网。
