Zhigalova S B, Manukyan G V, Vodoleev A S, Potekhin I O, Gonchar E V, Guryeva A R
Petrovsky National Research Center of Surgery, Moscow, Russia.
Herzen Moscow Research Institute of Oncology, Moscow, Russia.
Khirurgiia (Mosk). 2024(10):115-120. doi: 10.17116/hirurgia2024101115.
The authors consider ectopic biliary varices as a possible cause of portal biliopathy in extrahepatic portal hypertension. The main diagnostic methods including ultrasound CT, MRI, endoscopic ultrasonography, cholangioscopy, difficulties of differential diagnosis and clinical manifestations of portal biliopathy are presented. Various treatment options including portosystemic shunting and endoscopic biliary decompression are discussed. The authors emphasize the role of differentiated treatment depending on bile duct lesions. The study not only reviews this problem, but also highlights the issues requiring further analysis for selection of optimal diagnostic and treatment methods.
作者认为异位胆静脉曲张是肝外门静脉高压症中门静脉病的可能病因。介绍了门静脉病的主要诊断方法,包括超声CT、MRI、内镜超声、胆管镜检查、鉴别诊断的难点及临床表现。讨论了包括门体分流术和内镜下胆道减压术在内的各种治疗选择。作者强调根据胆管病变进行个体化治疗的作用。该研究不仅回顾了这一问题,还突出了为选择最佳诊断和治疗方法而需要进一步分析的问题。