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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.

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。

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