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经颈静脉肝内门体分流术(TIPS)成功治疗门静脉高压引起的复发性大量直肠出血:病例报告

Successful treatment with transjugular intrahepatic portosystemic shunt (TIPS) of recurrent massive rectal bleeding due to portal hypertension: case report.

作者信息

Yeşilkaya Yakup, Çil Barbaros, Peynircioğlu Bora, Şimşek Halis

机构信息

Hacettepe University, School of Medicine, Department of Radiology, Ankara, Turkey.

出版信息

Turk J Gastroenterol. 2013;24(4):363-6. doi: 10.4318/tjg.2013.0612.

DOI:10.4318/tjg.2013.0612
PMID:24254271
Abstract

Bleeding from anorectal varices can be massive and life-threatening. Punctual separation between hemorrhoids and anorectal varices is important. Numerous treatment options are available for management of bleeding anorectal varices, but none of them has demonstrated definitive efficacy. We report a case of successful transjugular intrahepatic portosystemic shunt in controlling massive recurrent rectal variceal bleeding in an elderly male patient.

摘要

肛门直肠静脉曲张出血可能大量发生且危及生命。准确区分痔疮和肛门直肠静脉曲张很重要。对于出血性肛门直肠静脉曲张的治疗有多种选择,但均未显示出确切疗效。我们报告一例老年男性患者经颈静脉肝内门体分流术成功控制大量复发性直肠静脉曲张出血的病例。

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1
Successful treatment with transjugular intrahepatic portosystemic shunt (TIPS) of recurrent massive rectal bleeding due to portal hypertension: case report.经颈静脉肝内门体分流术(TIPS)成功治疗门静脉高压引起的复发性大量直肠出血:病例报告
Turk J Gastroenterol. 2013;24(4):363-6. doi: 10.4318/tjg.2013.0612.
2
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J Clin Gastroenterol. 1997 Sep;25(2):460-2. doi: 10.1097/00004836-199709000-00014.
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The long-term efficacy of the intrahepatic portosystemic shunt (TIPS) for the treatment of bleeding anorectal varices in cirrhosis. A case report and review of the literature.经颈静脉肝内门体分流术(TIPS)治疗肝硬化患者直肠肛管静脉曲张出血的长期疗效:病例报告及文献复习
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Bleeding anorectal varices: successful treatment with transjugular intrahepatic portosystemic shunting (TIPS).出血性直肠静脉曲张:经颈静脉肝内门体分流术(TIPS)治疗成功
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Recurrent bleeding from anorectal varices: successful treatment with a transjugular intrahepatic portosystemic shunt.肛门直肠静脉曲张反复出血:经颈静脉肝内门体分流术治疗成功
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Transjugular intrahepatic portosystemic shunt for treatment of bleeding ectopic varices with portal hypertension.经颈静脉肝内门体分流术治疗门静脉高压症所致出血性异位静脉曲张
Dis Colon Rectum. 1999 Dec;42(12):1581-5. doi: 10.1007/BF02236211.
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The role of transjugular intrahepatic portosystemic shunt (TIPS) in the management of portal hypertension.经颈静脉肝内门体分流术(TIPS)在门静脉高压症治疗中的作用。
J Clin Gastroenterol. 2007 Nov-Dec;41 Suppl 3:S344-51. doi: 10.1097/MCG.0b013e318157e500.

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Management of ectopic variceal bleeding with transjugular intrahepatic portosystemic shunt: a systematic review of case reports.经颈静脉肝内门体分流术治疗异位静脉曲张出血的管理:病例报告的系统评价。
Emerg Radiol. 2024 Aug;31(4):581-594. doi: 10.1007/s10140-024-02258-6. Epub 2024 Jun 27.
2
Spontaneous bleeding or thrombosis in cirrhosis: What should be feared the most?肝硬化中的自发性出血或血栓形成:最应担心的是什么?
World J Hepatol. 2015 Jul 18;7(14):1818-27. doi: 10.4254/wjh.v7.i14.1818.
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Transjugular intrahepatic portosystemic shunt versus surgical shunting in the management of portal hypertension.
经颈静脉肝内门体分流术与外科分流术在门静脉高压症治疗中的比较
Chin Med J (Engl). 2015 Mar 20;128(6):826-34. doi: 10.4103/0366-6999.152676.