经肠系膜下静脉结扎术缓解的直肠肛管静脉曲张所致难治性出血。
Intractable bleeding from anorectal varices relieved by inferior mesenteric vein ligation.
作者信息
Yeh T, McGuire H H
机构信息
Department of Surgery, Hunter Holmes McGuire Medical Center, Medical College of Virginia/Virginia Commonwealth University, RIchmond.
出版信息
Gastroenterology. 1994 Oct;107(4):1165-7. doi: 10.1016/0016-5085(94)90243-7.
Intractable anorectal variceal bleeding is an uncommon manifestation of portal hypertension, distinct from simple hemorrhoids, that is managed with therapies as conservative as bedrest, stool softeners, and correction of coagulopathy and those as invasive as portosystemic shunt. In this case report, instant variceal decompression and cessation of bleeding followed a novel treatment: inferior mesenteric vein ligation.
难治性肛门直肠静脉曲张出血是门静脉高压的一种罕见表现，与单纯痔疮不同，其治疗方法既有像卧床休息、使用大便软化剂和纠正凝血功能障碍这样保守的疗法，也有像门体分流术这样有创的疗法。在本病例报告中，一种新的治疗方法——肠系膜下静脉结扎术，实现了静脉曲张的即时减压并止血。
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