肝門静脈ガスの25例の臨床特性分析
Changhui Ji1, Lihong Zhang2, Zhirong Cheng1
1Department of General Surgery, Taixing People's Hospital Affiliated to Yangzhou University, Taixing, Jiangsu, China.
Frontiers in surgery
|September 5, 2025
まとめ
高齢者の肝門静脈ガス (HPVG) はしばしば腸内疾患によるものです. 早期手術は生存率を改善しますが,併発性疾患による死亡率は高いままです.
科学分野:
- 胃腸内科
- 腹部イメージング
- 高齢者医療
背景:
- 肝門静脈ガス (HPVG) は珍しいが深刻な疾患である.
- 複数の併発性疾患を持つ高齢者は,HPVGの管理に特異的な課題を抱えています.
研究 の 目的:
- 高齢患者のHPVGの臨床的特徴,原因,結果を分析する.
- HPVG生存率に対する早期手術の影響を評価する.
主な方法:
- 25人の高齢のHPVG患者 (2010年−2024年) の遡及研究.
- 人口統計,症状,併発症,CT検査結果,病因,治療,結果の分析
- 手術と保守的な治療の比較
主要な成果:
- HPVGは,腸内不血症/結核 (56%) と高血圧 (76%) や糖尿病 (64%) といった併発性疾患とよく関連している.
- 腹部CTは全ての症例でHPVGが確認された.
- 抗生物質による緊急手術 (72%) は,保守的な治療 (40%) に比べて,より高い回復率を示した.
結論:
- HPVGの病因は様々で,腸内不全が顕著である.
- 腹部CTは診断に不可欠です
- 急性腹部発症の場合,予後が悪い可能性があるにもかかわらず,迅速な外科介入が推奨されます.
関連する概念動画
Hepatic Portal System
2.0K
The hepatic portal system, a critical part of our circulatory framework, transports nutrient-laden, deoxygenated blood from the gastrointestinal tract and spleen to the liver. This ingenious system plays an indispensable role in maintaining our body's metabolic equilibrium.
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
2.0K
Esophageal Varices-I: Introduction
324
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
324
Esophageal Varices-II: Clinical Features and Management
133
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
133
Chronic Pancreatitis I: Introduction
147
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
147
Diseases of the Liver and Gallbladder
957
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
957
Gross Anatomy of the Liver
856
The liver, the largest gland within the human body, is a firm and reddish-brown organ. This wedge-shaped structure weighs approximately 1.5 kg and occupies a significant portion of the right hypochondriac and epigastric regions. It extends more to the right of the body's midline than to the left.
Located under the diaphragm, the liver is almost entirely ensconced within the rib cage, providing it with substantial protection. Except for the superior most bare area, the liver's surface is...
Located under the diaphragm, the liver is almost entirely ensconced within the rib cage, providing it with substantial protection. Except for the superior most bare area, the liver's surface is...
856


