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本文引用的文献

1
Radiology insights into Petersen's hernia complication of post Roux-en-Y gastric bypass.关于Roux-en-Y胃旁路术后彼得森疝并发症的放射学见解
Radiol Case Rep. 2025 Jan 7;20(3):1695-1698. doi: 10.1016/j.radcr.2024.12.024. eCollection 2025 Mar.
2
Carvedilol as the new non-selective beta-blocker of choice in patients with cirrhosis and portal hypertension.卡维地洛作为肝硬化和门静脉高压患者的新型非选择性β受体阻滞剂。
Liver Int. 2023 Jun;43(6):1183-1194. doi: 10.1111/liv.15559. Epub 2023 Apr 17.
3
Portomesenteric Venous Stenting for Palliation of Ascites and Variceal Bleeding Caused by Prehepatic Portal Hypertension.经门静脉主干和肠系膜静脉支架置入术缓解肝前性门静脉高压所致腹水和静脉曲张出血
Oncologist. 2018 Jun;23(6):712-718. doi: 10.1634/theoncologist.2017-0337. Epub 2017 Dec 28.
4
Endoscopic ultrasound (EUS)-guided coil injection therapy of esophagogastric and ectopic varices.内镜超声（EUS）引导下食管胃静脉曲张及异位静脉曲张的线圈注射治疗
Surg Endosc. 2016 Apr;30(4):1396-404. doi: 10.1007/s00464-015-4342-3. Epub 2015 Jul 3.
5
Chronic gastrointestinal bleeding from an internal hernia after Roux-en-Y gastric bypass causing superior mesenteric venous obstruction with associated intestinal varices.Roux-en-Y胃旁路术后内疝引起的慢性胃肠道出血，导致肠系膜上静脉梗阻并伴有肠静脉曲张。
Surg Obes Relat Dis. 2015 Jul-Aug;11(4):e29-31. doi: 10.1016/j.soard.2015.04.015. Epub 2015 Apr 30.
6
Internal Hernia After Laparoscopic Antecolic Roux-en-Y Gastric Bypass.腹腔镜结肠前 Roux-en-Y 胃旁路术后内疝
Obes Surg. 2015 Nov;25(11):2106-11. doi: 10.1007/s11695-015-1672-0.
7
Intestinal infarction by internal hernia in Petersen's space after laparoscopic gastric bypass.腹腔镜胃旁路术后彼得森间隙内疝导致的肠梗死
World J Gastroenterol. 2014 Nov 21;20(43):16349-54. doi: 10.3748/wjg.v20.i43.16349.
8
Transjugular Intrahepatic Portosystemic Shunt for Acute Variceal Bleeding: A Meta-analysis.经颈静脉肝内门体分流术治疗急性静脉曲张出血：一项荟萃分析。
J Clin Gastroenterol. 2015 Jul;49(6):495-505. doi: 10.1097/MCG.0000000000000205.
9
Bowel gangrene from strangulated Petersen's space hernia after gastric bypass.胃旁路术后彼得森间隙绞窄性疝导致的肠坏疽
J Emerg Med. 2014 Feb;46(2):e31-4. doi: 10.1016/j.jemermed.2013.08.054. Epub 2013 Oct 29.
10
Stenting of the superior mesenteric vein in midgut carcinoid disease with large mesenteric masses.主肠系膜静脉支架置入术治疗伴有大肠系膜肿块的中肠类癌疾病。
World J Surg. 2010 Jun;34(6):1373-9. doi: 10.1007/s00268-009-0361-3.

彼得森疝导致的异位静脉曲张出血：复发性胃肠道出血的罕见原因。

Ectopic Variceal Bleeding due to Petersen Hernia: A Rare Cause of Recurrent Gastrointestinal Hemorrhage.

作者信息

Shi Michael A, Fernandes Conrad J, Chai Christy Y, Snyder Lll And Ned

机构信息

Department of Medicine, Baylor College of Medicine, Houston, TX.

Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, TX.

出版信息

ACG Case Rep J. 2025 Jul 21;12(7):e01760. doi: 10.14309/crj.0000000000001760. eCollection 2025 Jul.

DOI:10.14309/crj.0000000000001760
PMID:40692730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12278894/
Abstract

Petersen hernia is a rare complication that can occur following gastrojejunostomy procedures such as Roux-En-Y gastric bypass surgery. Bowel obstruction, ischemia, and mesenteric vessel thrombosis are recognized complications that can result in significant patient morbidity or mortality. In this study, we describe a case of mesenteric vein stenosis due to a Petersen hernia in a 61-year-old woman, manifesting as recurrent gastrointestinal bleeding. This noncirrhotic, portal hypertensive, ectopic variceal bleeding secondary to chronic superior mesenteric vein stenosis secondary to a Petersen hernia is a unique cause of recurrent gastrointestinal bleeding.

摘要

彼得森疝是一种罕见的并发症，可发生于诸如Roux-en-Y胃旁路手术等胃肠吻合术后。肠梗阻、缺血和肠系膜血管血栓形成是公认的并发症，可导致患者出现严重的发病情况或死亡。在本研究中，我们描述了一例61岁女性因彼得森疝导致肠系膜静脉狭窄的病例，表现为反复胃肠道出血。这种由彼得森疝继发慢性肠系膜上静脉狭窄引起的非肝硬化、门静脉高压、异位静脉曲张出血是反复胃肠道出血的独特原因。