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胃静脉曲张出血的罕见病因

A Rare Cause of Gastric Variceal Bleeding.

作者信息

Ramos Yesenia, Gui Dorina, Chak Eric

机构信息

Department of Internal Medicine, University of California Davis School of Medicine, Sacramento, California, USA.

Department of Pathology, University of California Davis School of Medicine, Sacramento, California, USA.

出版信息

Case Rep Gastroenterol. 2021 Dec 30;15(3):1008-1012. doi: 10.1159/000521126. eCollection 2021 Sep-Dec.

DOI:10.1159/000521126
PMID:35110989
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8787550/
Abstract

A 68-year-old woman with stage III colon cancer status after right hemicolectomy and adjuvant FOLFOX (5-fluorouracil/leucovorin/oxaliplatin) chemotherapy was hospitalized for melena and found to have new-onset esophageal and gastric varices on esophagogastroduodenoscopy. Her workup did not reveal an underlying liver disease, but her liver biopsy showed noncirrhotic portal hypertension from obliterative portal venopathy (OPV). The development of OPV is likely from her use of oxaliplatin-based chemotherapy.

摘要

一名68岁女性,右半结肠切除术后处于III期结肠癌状态,并接受了辅助性FOLFOX(5-氟尿嘧啶/亚叶酸钙/奥沙利铂)化疗,因黑便入院,经食管胃十二指肠镜检查发现新发食管和胃静脉曲张。她的检查未发现潜在的肝脏疾病,但肝脏活检显示为闭塞性门静脉病(OPV)导致的非肝硬化性门静脉高压。OPV的发生可能与她使用含奥沙利铂的化疗有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2abe/8787550/f9492878a458/crg-0015-1008-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2abe/8787550/4b179e84b233/crg-0015-1008-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2abe/8787550/33d9b6fbfebb/crg-0015-1008-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2abe/8787550/f9492878a458/crg-0015-1008-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2abe/8787550/4b179e84b233/crg-0015-1008-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2abe/8787550/33d9b6fbfebb/crg-0015-1008-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2abe/8787550/f9492878a458/crg-0015-1008-g03.jpg

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本文引用的文献

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Adjuvant Chemotherapy for Stage III Colon Cancer.III期结肠癌的辅助化疗
Cancers (Basel). 2020 Sep 19;12(9):2679. doi: 10.3390/cancers12092679.
2
Surgical intervention for portal hypertension caused by oxaliplatin-based chemotherapy: a case report and a review of literature regarding radiological and/or surgical interventions for oxaliplatin-associated portal hypertension.基于奥沙利铂化疗所致门静脉高压症的外科干预:一例病例报告及关于奥沙利铂相关性门静脉高压症放射学和/或外科干预的文献综述
Clin J Gastroenterol. 2020 Oct;13(5):799-805. doi: 10.1007/s12328-020-01157-w. Epub 2020 Jun 26.
3
Incidence of portal hypertension in patients exposed to oxaliplatin.
接受奥沙利铂治疗的患者门静脉高压症的发病率。
Dig Liver Dis. 2019 Sep;51(9):1348-1350. doi: 10.1016/j.dld.2019.06.020. Epub 2019 Jul 15.
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Noncirrhotic portal hypertension: Medical and endoscopic management.非肝硬化性门静脉高压症:医学与内镜治疗
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Idiopathic noncirrhotic portal hypertension: What is it?特发性非肝硬化性门静脉高压症:它是什么?
Clin Liver Dis (Hoboken). 2015 May 27;5(5):120-122. doi: 10.1002/cld.472. eCollection 2015 May.
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The pathological differential diagnosis of portal hypertension.门静脉高压症的病理鉴别诊断
Clin Liver Dis (Hoboken). 2017 Sep 29;10(3):57-62. doi: 10.1002/cld.655. eCollection 2017 Sep.
7
Oxaliplatin-induced hepatoportal sclerosis, portal hypertension, and variceal bleeding successfully treated with transjugular intrahepatic portosystemic shunt.奥沙利铂诱导的肝门脉硬化、门静脉高压和静脉曲张出血经颈静脉肝内门体分流术成功治疗。
Clin Colorectal Cancer. 2012 Sep;11(3):224-7. doi: 10.1016/j.clcc.2012.02.002. Epub 2012 Apr 25.
8
Efficacy of non-selective β-blockers as adjunct to endoscopic prophylactic treatment for gastric variceal bleeding: a randomized controlled trial.非选择性β受体阻滞剂辅助内镜预防性治疗胃静脉曲张出血的疗效:一项随机对照试验。
J Hepatol. 2012 May;56(5):1025-1032. doi: 10.1016/j.jhep.2011.12.021. Epub 2012 Jan 17.
9
Oxaliplatin-mediated increase in spleen size as a biomarker for the development of hepatic sinusoidal injury.奥沙利铂介导的脾脏增大可作为肝窦损伤发展的生物标志物。
J Clin Oncol. 2010 May 20;28(15):2549-55. doi: 10.1200/JCO.2009.27.5701. Epub 2010 Apr 20.
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Clin Colorectal Cancer. 2009 Oct;8(4):225-30. doi: 10.3816/CCC.2009.n.038.