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痔疮或直肠静脉曲张:门静脉高压患者大量直肠出血原因的界定

Hemorrhoids or rectal varices: defining the cause of massive rectal hemorrhage in patients with portal hypertension.

作者信息

Weinshel E, Chen W, Falkenstein D B, Kessler R, Raicht R F

出版信息

Gastroenterology. 1986 Mar;90(3):744-7. doi: 10.1016/0016-5085(86)91132-7.

DOI:10.1016/0016-5085(86)91132-7
PMID:3484711
Abstract

Identifying the source of lower gastrointestinal hemorrhage in patients with chronic liver disease and portal hypertension can be challenging. We present 2 cases of hemorrhage from rectal varices and a discussion on the differences between simple hemorrhoids and rectal varices. Evaluation of rectal bleeding in patients with portal hypertension is discussed and possible therapeutic options are described.

摘要

识别慢性肝病和门静脉高压患者下消化道出血的来源可能具有挑战性。我们介绍2例直肠静脉曲张出血病例,并讨论单纯痔与直肠静脉曲张之间的差异。本文还讨论了门静脉高压患者直肠出血的评估,并描述了可能的治疗选择。

相似文献

1
Hemorrhoids or rectal varices: defining the cause of massive rectal hemorrhage in patients with portal hypertension.痔疮或直肠静脉曲张:门静脉高压患者大量直肠出血原因的界定
Gastroenterology. 1986 Mar;90(3):744-7. doi: 10.1016/0016-5085(86)91132-7.
2
[Rupture of rectal varices?].[直肠静脉曲张破裂?]
Ann Radiol (Paris). 1978 Jan-Feb;21(1):75-7.
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Portal hypertension with varices in unusual sites.门静脉高压伴不常见部位静脉曲张。
Lancet. 1974 Dec 28;2(7896):1531-4. doi: 10.1016/s0140-6736(74)90283-9.
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Rectal bleeding in a patient with portal hypertension.门静脉高压患者的直肠出血。
Postgrad Med J. 2001 Oct;77(912):665, 677. doi: 10.1136/pmj.77.912.665a.
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Anorectal varices, haemorrhoids, and portal hypertension.肛门直肠静脉曲张、痔疮与门静脉高压症。
Lancet. 1989 Feb 18;1(8634):349-52. doi: 10.1016/s0140-6736(89)91724-8.
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[Hemorrhage caused by rectal varices and portal hypertension].[直肠静脉曲张和门静脉高压引起的出血]
J Radiol. 1984 Jun-Jul;65(6-7):481-3.
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Rectal varices in extrahepatic portal hypertension.肝外门静脉高压症中的直肠静脉曲张
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Recurrent rectal bleeding from portal hypertensive colopathy in a patient with hemorrhoids.一名患有痔疮的患者因门静脉高压性结肠病反复出现直肠出血。
Am J Gastroenterol. 1995 Sep;90(9):1531-3.
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Rectal varices in extrahepatic portal vein obstruction.肝外门静脉阻塞中的直肠静脉曲张
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Bleeding anorectal varices: successful treatment with transjugular intrahepatic portosystemic shunting (TIPS).出血性直肠静脉曲张:经颈静脉肝内门体分流术(TIPS)治疗成功
Gut. 1996 Jun;38(6):932-5. doi: 10.1136/gut.38.6.932.

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Transjugular intrahepatic portosystemic stent shunt placement and embolization for hemorrhage associated with rupture of anorectal varices.经颈静脉肝内门体静脉支架分流术及栓塞术治疗直肠肛管静脉曲张破裂出血
J Int Med Res. 2018 Apr;46(4):1666-1671. doi: 10.1177/0300060517730720. Epub 2018 Jan 17.
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Successful hemostasis of intractable rectal variceal bleeding using variceal embolization.使用曲张静脉栓塞术成功治疗顽固性直肠静脉曲张出血
World J Gastroenterol. 2015 Feb 28;21(8):2558-62. doi: 10.3748/wjg.v21.i8.2558.
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Updates in the pathogenesis, diagnosis and management of ectopic varices.
异位静脉曲张的发病机制、诊断和治疗的新进展。
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Avoiding pitfalls: what an endoscopist should know in liver transplantation--part 1.避免陷阱:肝移植内镜医师应知事项——第1部分
Dig Dis Sci. 2008 Jul;53(7):1757-73. doi: 10.1007/s10620-007-0079-8. Epub 2007 Nov 9.
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Successful treatment of giant rectal varices by modified percutaneous transhepatic obliteration with sclerosant: Report of a case.改良经皮肝穿刺硬化剂闭塞术成功治疗巨大直肠静脉曲张:1例报告
World J Gastroenterol. 2006 Sep 7;12(33):5408-11. doi: 10.3748/wjg.v12.i33.5408.
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Portal hypertensive colopathy in patients with liver cirrhosis.肝硬化患者的门静脉高压性结肠病
World J Gastroenterol. 2005 May 28;11(20):3127-30. doi: 10.3748/wjg.v11.i20.3127.
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Endoscopic band ligation of bleeding rectal varices.内镜下直肠静脉曲张出血的套扎术
Dig Dis Sci. 2002 Jul;47(7):1502-5. doi: 10.1023/a:1015802732217.
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Relationship of portal pressure and colorectal vasculopathy in patients with cirrhosis.肝硬化患者门静脉压力与结直肠血管病变的关系
Dig Dis Sci. 1999 Jan;44(1):149-54. doi: 10.1023/a:1026670604551.
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Bleeding anorectal varices: successful treatment with transjugular intrahepatic portosystemic shunting (TIPS).出血性直肠静脉曲张:经颈静脉肝内门体分流术(TIPS)治疗成功
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Complications and limitations of injection sclerotherapy in portal hypertension.门静脉高压症注射硬化治疗的并发症与局限性
Gut. 1993 Jan;34(1):7-10. doi: 10.1136/gut.34.1.7.