Izsak E M, Finlay J M
Am J Gastroenterol. 1980 Feb;73(2):131-6.
Three cases of colonic varices are presented. An extensive review of the literature revealed 29 other cases, whose clinical summaries are included. The majority of patients had portal hypertension and almost always presented with hematochezia. The most fruitful diagnostic tests were sigmoidoscopy and SMA arteriogram. The best therapeutic regimen for the severe bleeder with colonic varices is portacaval shunt.
本文报告了3例结肠静脉曲张病例。对文献进行广泛检索后发现了另外29例病例,并纳入了其临床总结。大多数患者患有门静脉高压,几乎均以便血为表现。最有效的诊断检查是乙状结肠镜检查和肠系膜上动脉造影。对于患有结肠静脉曲张的严重出血患者,最佳的治疗方案是门腔分流术。