出血性造口静脉曲张及其介入治疗——三例系列报道
Bleeding Stomal Varices and Their Interventional Management- A Series of Three Cases.
作者信息
Patel Ranjan Kumar, Chandel Karamvir, Tripathy Taraprasad, Choudhury Ashok, Mukund Amar
机构信息
Department of Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi, 110070, India.
Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, 110070, India.
出版信息
J Clin Exp Hepatol. 2022 Mar-Apr;12(2):649-653. doi: 10.1016/j.jceh.2021.09.005. Epub 2021 Sep 10.
Abstract
Although stomal and parastomal varices are uncommon causes of variceal bleeding, the mortality rate might be as high as 40%. Timely intervention is essential for the management of these ectopic bleeding varices. Due to the rarity of such varices, no standard treatment guideline is available. We present three cases of bleeding stomal varices managed with an endovascular approach, one through percutaneous transhepatic and the other two through transjugular intrahepatic portosystemic shunt approach.
摘要
尽管造口及造口旁静脉曲张是静脉曲张出血的罕见原因，但死亡率可能高达40%。对于这些异位出血性静脉曲张的管理，及时干预至关重要。由于此类静脉曲张罕见，尚无标准治疗指南。我们报告了3例采用血管内治疗方法处理的造口静脉曲张出血病例，1例通过经皮肝穿刺，另外2例通过经颈静脉肝内门体分流术。
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Ann Hepatol. 2019 Jan-Feb;18(1):250-257. doi: 10.5604/01.3001.0012.7934.
2
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AJR Am J Roentgenol. 2014 Sep;203(3):668-73. doi: 10.2214/AJR.13.12211.
3
Ileal conduit stomal variceal bleeding managed by endovascular embolization.肠造口静脉瘤出血经血管内栓塞治疗。
World J Gastroenterol. 2013 Nov 28;19(44):8156-9. doi: 10.3748/wjg.v19.i44.8156.
4
Ectopic varices: anatomical classification, hemodynamic classification, and hemodynamic-based management.异位静脉曲张：解剖学分类、血流动力学分类及基于血流动力学的管理
Tech Vasc Interv Radiol. 2013 Jun;16(2):158-75. doi: 10.1053/j.tvir.2013.02.004.
5
Novel surgical control of bleeding para-stomal varices.新型手术控制造口旁静脉曲张出血
ANZ J Surg. 2010 Jun;80(6):469-70. doi: 10.1111/j.1445-2197.2010.05323.x.
6
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Aliment Pharmacol Ther. 2008 Aug 1;28(3):294-303. doi: 10.1111/j.1365-2036.2008.03719.x.
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