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通过内镜超声识别十二指肠静脉曲张患者的穿支血管——病例系列[附视频]

Identification of Perforators in Patients with Duodenal Varices by Endoscopic Ultrasound-A Case Series [with video].

作者信息

Sharma Malay, Mohan Pazhanivel, Rameshbabu Chittapuram S, Jayanthi Venkataraman

机构信息

Jaswant Rai Speciality Hospital, Saket, Meerut 250 001, Uttar Pradesh, India.

Department of Gastroenterology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.

出版信息

J Clin Exp Hepatol. 2012 Sep;2(3):229-37. doi: 10.1016/j.jceh.2012.07.004. Epub 2012 Sep 21.

Abstract

BACKGROUND/AIMS: Duodenal varices (DV) are ectopic varices which can cause massive gastrointestinal bleeding. The diagnosis of DV may be difficult; sometimes they can be hidden behind duodenal folds. The aim of the study was to evaluate DV by endoscopic ultrasound.

METHODS

Endoscopic ultrasound was done in patients detected or suspected to be having DV. The para duodenal varices were identified and subsequently hemodynamic evaluation of DV was done.

RESULTS

Endoscopic ultrasound identified perforators in seven cases of DV.

CONCLUSION

The endoscopic ultrasound can help in detection of DV underlying thickened folds. It can also help in hemodynamic evaluation of DV.

摘要

背景/目的:十二指肠静脉曲张(DV)是异位静脉曲张,可导致大量胃肠道出血。DV的诊断可能困难;有时它们会隐藏在十二指肠皱襞后面。本研究的目的是通过内镜超声评估DV。

方法

对检测到或怀疑患有DV的患者进行内镜超声检查。识别十二指肠旁静脉曲张,随后对DV进行血流动力学评估。

结果

内镜超声在7例DV患者中发现了穿支血管。

结论

内镜超声有助于检测增厚皱襞下的DV。它还有助于DV的血流动力学评估。

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