肝硬化门体分流侧支循环的全面综述：历史回顾、解剖学及分类
A Comprehensive Review of Portosystemic Collaterals in Cirrhosis: Historical Aspects, Anatomy, and Classifications.
作者信息
Philips Cyriac Abby, Arora Ankur, Shetty Rajesh, Kasana Vivek
机构信息
Department of Hepatology and Transplant Medicine, Institute of Liver and Biliary Sciences, D-1, Vasant Kunj, New Delhi 110070, India.
Department of Radiodiagnosis, Institute of Liver and Biliary Sciences, D-1, Vasant Kunj, New Delhi 110070, India.
出版信息
Int J Hepatol. 2016;2016:6170243. doi: 10.1155/2016/6170243. Epub 2016 Dec 15.
Abstract
Portosystemic collateral formation in cirrhosis plays an important part in events that define the natural history in affected patients. A detailed understanding of collateral anatomy and hemodynamics in cirrhotics is essential to envisage diagnosis, management, and outcomes of portal hypertension. In this review, we provide detailed insights into the historical, anatomical, and hemodynamic aspects to portal hypertension and collateral pathways in cirrhosis with emphasis on the various classification systems.
摘要
肝硬化门体侧支循环形成在决定患病患者自然病程的事件中起重要作用。详细了解肝硬化患者的侧支循环解剖结构和血流动力学对于设想门静脉高压的诊断、管理及预后至关重要。在本综述中，我们深入探讨了肝硬化门静脉高压和侧支循环途径的历史、解剖及血流动力学方面，重点介绍了各种分类系统。
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本文引用的文献
1
Gastric varices: Classification, endoscopic and ultrasonographic management.
J Res Med Sci. 2015 Dec;20(12):1200-7. doi: 10.4103/1735-1995.172990.
2
Spectrum of hepatofugal collateral pathways in portal hypertension: an illustrated radiological review.
Insights Imaging. 2015 Oct;6(5):559-72. doi: 10.1007/s13244-015-0419-8. Epub 2015 Sep 4.
3
Transabdominal color Doppler ultrasonography for the diagnosis of small intestinal and vesical varices in a patient successfully treated with percutaneous transhepatic obliteration.
Clin J Gastroenterol. 2010 Aug;3(4):214-8. doi: 10.1007/s12328-010-0164-y. Epub 2010 Jul 17.
4
Collateral pathways in portal hypertension.
J Clin Exp Hepatol. 2012 Dec;2(4):338-52. doi: 10.1016/j.jceh.2012.08.001. Epub 2012 Dec 16.
5
Endovascular management of gastric varices.
Clin Liver Dis. 2014 Nov;18(4):829-51. doi: 10.1016/j.cld.2014.07.005. Epub 2014 Oct 16.
6
Endoscopic management of bleeding gastric varices--an updated overview.
Curr Gastroenterol Rep. 2014 Oct;16(10):413. doi: 10.1007/s11894-014-0413-1.
7
Novel techniques for gastric variceal obliteration.
Dig Endosc. 2015 Jan;27(2):189-96. doi: 10.1111/den.12337. Epub 2014 Sep 24.
8
Rare, spontaneous trans-splenic shunt and intra-splenic collaterals with attendant splenic artery aneurysms in an adult patient with compensated cirrhosis and portal hypertension.
Gastroenterol Rep (Oxf). 2015 May;3(2):162-6. doi: 10.1093/gastro/gou047. Epub 2014 Jul 9.
9
Update on gastric varices.
World J Gastrointest Endosc. 2014 May 16;6(5):168-75. doi: 10.4253/wjge.v6.i5.168.
10
Improvement in survival associated with embolisation of spontaneous portosystemic shunt in patients with recurrent hepatic encephalopathy.
Aliment Pharmacol Ther. 2014 Jun;39(12):1418-26. doi: 10.1111/apt.12771. Epub 2014 Apr 22.
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