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胃窦部异常血管:上消化道出血的一个原因。

Abnormal blood vessels in the gastric antrum: a cause of upper-gastrointestinal bleeding.

作者信息

Wheeler M H, Smith P M, Cotton P B, Evans D M, Lawrie B W

出版信息

Dig Dis Sci. 1979 Feb;24(2):155-8. doi: 10.1007/BF01324744.

DOI:10.1007/BF01324744
PMID:311727
Abstract

Three patients who bled from curious vascular lesions of the gastric antrum are described. Each presented with an iron-deficiency anemia. Histological examination in two of the patients demonstrated numerous ectatic submucosal vessels in the antrum, the appearances being somewhat similar to angiodysplasia of the colon. The gastric lesions were not shown by barium meal examination or angiography but gave characteristic appearances on endoscopy. We believe that Billroth I partial gastrectomy is the treatment of choice for this condition.

摘要

本文描述了3例因胃窦部罕见血管病变而出血的患者。每例患者均表现为缺铁性贫血。其中2例患者的组织学检查显示胃窦部有大量扩张的黏膜下血管,其表现与结肠血管发育异常有些相似。钡餐检查或血管造影未显示胃部病变,但内镜检查呈现出特征性表现。我们认为毕罗一世式胃部分切除术是治疗这种疾病的首选方法。

相似文献

1
Abnormal blood vessels in the gastric antrum: a cause of upper-gastrointestinal bleeding.胃窦部异常血管:上消化道出血的一个原因。
Dig Dis Sci. 1979 Feb;24(2):155-8. doi: 10.1007/BF01324744.
2
Diffuse vascular ectasia of the gastric antrum.
Am J Gastroenterol. 1987 May;82(5):421-6.
3
Gastric antral vascular ectasia: the watermelon stomach.胃窦血管扩张症:西瓜胃。
Gastroenterology. 1984 Nov;87(5):1165-70.
4
Abnormal blood vessels of the prepyloric antrum in cirrhosis of the liver as a cause of chronic gastrointestinal bleeding.肝硬变时幽门窦前异常血管作为慢性胃肠道出血的原因
Endoscopy. 1978 May;10(2):89-94. doi: 10.1055/s-0028-1098271.
5
Gastric antral vascular ectasia (the watermelon stomach): a brief case report.
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Gastric antral vascular ectasia: a problem of recognition and diagnosis.胃窦血管扩张症:一个识别与诊断的问题。
Gut. 1991 Aug;32(8):954-5. doi: 10.1136/gut.32.8.954.
7
A case of gastric antral vascular ectasia--increase of neuroendocrine cells in the antrum.
J Gastroenterol. 1995 Jun;30(3):387-92. doi: 10.1007/BF02347516.
8
Antral vascular ectasia--the "watermelon" stomach.
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9
Gastric intestinal vascular ectasia syndrome: findings on capsule endoscopy.
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[Antral vascular ectasia--"water-melon stomach". An overlooked cause of iron deficiency anemia?].
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引用本文的文献

1
Long-term efficacy of endoscopic coagulation for different types of gastric vascular ectasia.内镜下凝固治疗不同类型胃血管畸形的长期疗效。
World J Gastroenterol. 2013 May 14;19(18):2799-805. doi: 10.3748/wjg.v19.i18.2799.
2
Vascular malformations and hemangiolymphangiomas of the gastrointestinal tract: morphological features and clinical impact.胃肠道血管畸形和血管淋巴管瘤:形态学特征及临床影响
Int J Clin Exp Pathol. 2011 Jun 20;4(5):430-43. Epub 2011 Jun 2.
3
Chronic anemia due to watermelon stomach.西瓜胃所致的慢性贫血

本文引用的文献

1
Arterial changes in the lungs in cirrhosis of the liver--lung spider nevi.肝硬化时肺部的动脉变化——肺蜘蛛痣。
N Engl J Med. 1966 Feb 10;274(6):291-8. doi: 10.1056/NEJM196602102740601.
2
Abnormal blood vessels of the prepyloric antrum in cirrhosis of the liver as a cause of chronic gastrointestinal bleeding.肝硬变时幽门窦前异常血管作为慢性胃肠道出血的原因
Endoscopy. 1978 May;10(2):89-94. doi: 10.1055/s-0028-1098271.
3
Angiodysplasia of the colon: diagnosis and treatment.结肠血管发育异常:诊断与治疗
Ann Saudi Med. 2010 Mar-Apr;30(2):156-8. doi: 10.4103/0256-4947.60524.
4
Upper gastrointestinal bleeding from duodenal vascular ectasia in a patient with cirrhosis.一名肝硬化患者因十二指肠血管扩张导致上消化道出血。
World J Gastroenterol. 2007 Oct 14;13(38):5154-7. doi: 10.3748/wjg.v13.i38.5154.
5
Watermelon stomach: pathophysiology, diagnosis, and management.西瓜胃:病理生理学、诊断与管理
J Gastrointest Surg. 2003 Jul-Aug;7(5):652-61. doi: 10.1016/s1091-255x(02)00435-3.
6
Spontaneous gastric rupture and hemoperitoneum due to gastric hemangioma.胃血管瘤导致的自发性胃破裂和腹腔积血。
Dig Dis Sci. 2001 Apr;46(4):852-3. doi: 10.1023/a:1010768821432.
7
Diffuse vascular ectasia of the antrum, duodenum, and jejunum in a patient with nodular regenerative hyperplasia. Lack of response to portosystemic shunt or gastrectomy.结节性再生性增生患者胃窦、十二指肠和空肠的弥漫性血管扩张。对门体分流术或胃切除术无反应。
Gut. 1993 Apr;34(4):558-61. doi: 10.1136/gut.34.4.558.
8
Aortic stenosis and intestinal angiodysplasia--a case of gastric involvement.主动脉瓣狭窄与肠道血管发育异常——1例累及胃部的病例
West J Med. 1981 Aug;135(2):139-42.
9
Antral vascular lesion, achlorhydria, and chronic gastrointestinal blood loss: response to steroids.
Dig Dis Sci. 1980 Mar;25(3):236-9. doi: 10.1007/BF01308145.
10
Aetiology of antral vascular malformation.胃窦血管畸形的病因
J R Soc Med. 1986 Jul;79(7):434.
Gastroenterology. 1977 Feb;72(2):329-33.
4
Analysis of cecal vasculature in the search for vascular malformations.在寻找血管畸形过程中对盲肠血管系统的分析。
AJR Am J Roentgenol. 1976 Feb;126(2):394-405. doi: 10.2214/ajr.126.2.394.