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推特辩论:门静脉高压管理中的争议

Twitter debate: controversies in the management of portal hypertension.

作者信息

Chung William, Maurice James, Patch David

机构信息

The Royal Free Sheila Sherlock Liver Centre, Royal Free London NHS Foundation Trust, Hampstead, London, UK.

Department of Gastroenterology, Barts Health NHS Trust, London, UK.

出版信息

Frontline Gastroenterol. 2020 Jan 30;12(1):77-79. doi: 10.1136/flgastro-2019-101400. eCollection 2021.

DOI:10.1136/flgastro-2019-101400
PMID:33456744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7790013/
Abstract

The latest 'Controversies in…' series for the Twitter debates addressed the challenges of managing patients with portal hypertension, facilitated by Hepatologist and Liver Transplant physician Dr David Patch from the Royal Free London. Key topics discussed include basic principles of managing a patient with variceal bleeding, techniques for treating oesophageal and ectopic varices, pitfalls of vasoactive therapy, indications for transjugular intrahepatic portosystemic shunt, and a brief discussion of portal vein thrombosis. This article aims to summarise key areas of discussion from the event.

摘要

推特辩论的最新“……争议”系列探讨了门静脉高压症患者管理的挑战,由伦敦皇家自由医院的肝病学家兼肝移植医生大卫·帕奇博士主持。讨论的关键主题包括静脉曲张出血患者管理的基本原则、食管和异位静脉曲张的治疗技术、血管活性治疗的陷阱、经颈静脉肝内门体分流术的适应症,以及对门静脉血栓形成的简要讨论。本文旨在总结该活动讨论的关键领域。

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Twitter debate: controversies in the management of portal hypertension.推特辩论:门静脉高压管理中的争议
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引用本文的文献

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Twitter debate: controversies in management of upper gastrointestinal bleeding.推特辩论:上消化道出血管理中的争议
Frontline Gastroenterol. 2021 Jan 5;12(5):437-439. doi: 10.1136/flgastro-2020-101738. eCollection 2021.

本文引用的文献

1
A stepwise thrombolysis regimen in the management of acute portal vein thrombosis in patients with evidence of intestinal ischaemia.伴有肠缺血证据的急性门静脉血栓形成患者采用逐步溶栓方案治疗。
Aliment Pharmacol Ther. 2019 Nov;50(9):1049-1058. doi: 10.1111/apt.15479. Epub 2019 Sep 5.
2
Early TIPS with covered stents versus standard treatment for acute variceal bleeding in patients with advanced cirrhosis: a randomised controlled trial.早期 TIPS(经颈静脉肝内门体分流术)联合覆膜支架与标准治疗对肝硬化急性静脉曲张出血患者的随机对照试验。
Lancet Gastroenterol Hepatol. 2019 Aug;4(8):587-598. doi: 10.1016/S2468-1253(19)30090-1. Epub 2019 May 29.
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Newer Oral Anticoagulants in the Treatment of Acute Portal Vein Thrombosis in Patients with and without Cirrhosis.新型口服抗凝剂在伴或不伴肝硬化患者急性门静脉血栓形成治疗中的应用
Int J Hepatol. 2018 Jun 5;2018:8432781. doi: 10.1155/2018/8432781. eCollection 2018.
4
Low molecular weight heparin does not increase bleeding and mortality post-endoscopic variceal band ligation in cirrhotic patients.低分子量肝素不会增加肝硬化患者内镜下套扎术后出血和死亡率。
Liver Int. 2018 Jul;38(7):1253-1262. doi: 10.1111/liv.13728. Epub 2018 Mar 25.
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Outcomes and Role of Urgent Endoscopy in High-Risk Patients With Acute Nonvariceal Gastrointestinal Bleeding.高危急性非静脉曲张性胃肠出血患者行急诊内镜检查的结果和作用。
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Pitfalls in histoacryl glue injection therapy for oesophageal, gastric and ectopic varices: A review.组织黏合剂注射疗法治疗食管、胃及异位静脉曲张的陷阱:综述
World J Gastrointest Surg. 2016 Nov 27;8(11):729-734. doi: 10.4240/wjgs.v8.i11.729.
7
Review article: the management of cirrhosis in women.综述文章:女性肝硬化的管理
Aliment Pharmacol Ther. 2014 Nov;40(10):1146-54. doi: 10.1111/apt.12974. Epub 2014 Sep 28.
8
Improved survival of cirrhotic patients with variceal bleeding over the decade 2000-2010.
Clin Res Hepatol Gastroenterol. 2015 Feb;39(1):59-67. doi: 10.1016/j.clinre.2014.06.018. Epub 2014 Aug 18.
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Primary prophylaxis of gastric variceal bleeding comparing cyanoacrylate injection and beta-blockers: a randomized controlled trial.氰基丙烯酸酯注射与β受体阻滞剂预防胃静脉曲张出血的一级预防:一项随机对照试验。
J Hepatol. 2011 Jun;54(6):1161-7. doi: 10.1016/j.jhep.2010.09.031. Epub 2010 Nov 5.
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Early use of TIPS in patients with cirrhosis and variceal bleeding.经颈静脉肝内门体分流术在肝硬化并食管胃静脉曲张出血患者中的早期应用。
N Engl J Med. 2010 Jun 24;362(25):2370-9. doi: 10.1056/NEJMoa0910102.