Melinte-Popescu M, Bălan G
Universităţii de Medicină şi Farmacie "Gr. T. Popa" Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2011 Oct-Dec;115(4):1003-6.
Portal hypertension is the main cause of complications of hepatic diseases determining portosystemic collateral circulation, ascites and gastroesophageal varices. Aim of the study is to review current opinions and to correlate clinical and endoscopic signs determined by portal hypertension.
We performed a retrospective study on 150 patients diagnosed and treated for diseases associated with portal hypertension at the Institute of Hepatology and Gastroenterology from Iaşi between 2007 and 2009.
Most of the patients presented with cirrhosis (112 cases) mainly of toxic (63 cases) and viral (31 cases) etiology. In order to appreciate bleeding from esophageal varices we applied Forrest criteria and identified type Ia bleeding in 26,6% of cases and type Ib bleeding at 73,4% of patients. In 15% of cases, variceal bleeding represented the first symptom of slowly progressing hepatic cirrhosis.
The objective of subsequent evaluation of small varices is detecting size increase, an important prognostic and therapeutic index.
门静脉高压是肝病并发症的主要原因，可导致门体侧支循环、腹水和胃食管静脉曲张。本研究的目的是回顾当前观点，并关联门静脉高压所决定的临床和内镜表现。
我们对2007年至2009年期间在雅西肝病与胃肠病研究所诊断和治疗的150例与门静脉高压相关疾病的患者进行了回顾性研究。
大多数患者患有肝硬化（112例），主要病因是中毒性（63例）和病毒性（31例）。为了评估食管静脉曲张出血情况，我们应用了福里斯特标准，确定Ia型出血占26.6%的病例，Ib型出血占73.4%的患者。在15%的病例中，静脉曲张出血是缓慢进展性肝硬化的首发症状。
对小静脉曲张进行后续评估的目的是检测其大小增加，这是一个重要的预后和治疗指标。
