Muhletaler C, Gerlock A J, Goncharenko V, Avant G R, Flexner J M
Radiology. 1979 Sep;132(3):593-8. doi: 10.1148/132.3.593.
The radiographic appearance and clinical significance of gastric varices in the absence of esophageal varices and secondary to splenic vein occlusion were studied. Eighteen patients were evaluated through medical records, angiography, and barium studies of the stomach and esophagus. The presence of splenic vein occlusion was determined by arteriography in 18 patients and its etiology confirmed by surgery in 17 patients. This condition should be suspected in patients with chronic abdominal pain, weight loss, and iron deficiency anemia who show fundal polypoid filling defects or prominent gastric folds on an upper GI series.
对无食管静脉曲张且继发于脾静脉阻塞的胃静脉曲张的影像学表现及临床意义进行了研究。通过病历、血管造影以及胃和食管的钡剂造影对18例患者进行了评估。18例患者通过动脉造影确定存在脾静脉阻塞，17例患者通过手术证实了其病因。对于有慢性腹痛、体重减轻和缺铁性贫血且在上消化道造影中显示胃底息肉样充盈缺损或胃皱襞突出的患者，应怀疑存在这种情况。
