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左侧门高血压:管理算法的更新和建议

Pierre Mayer¹, Aïna Venkatasamy², Thomas F Baumert³

¹Hepato-gastroenterology Department, Hepato-digestive Unit, New Civil Hospital, University Hospitals of Strasbourg (HUS), Strasbourg, France; IHU-Strasbourg (Institut Hospitalo-Universitaire), Strasbourg, France.

Journal of visceral surgery

|December 23, 2023

概括

分段门高血压 (SPHT) 往往源于胰腺问题,导致脏扩大和胃肠道出血. 这篇综述概述了SPHT的概述.

科学领域:

胃肠病学胃肠病学
血管外科血管外科
放射学放射学是指放射学

背景情况:

左侧或细分门高血压 (SPHT) 是一种罕见的疾病,经常与胰腺疾病或之前的胰腺手术有关.
它是由脏静脉阻塞引起的,导致腹壮成,并形成附带的移植系统循环.
在有胰腺病史的患者中,尽管肝功能测试正常,但应该考虑SPHT,这些患者有上部胃肠道出血和壮症.

研究的目的:

阐明SPHT的病理生理机制,临床表现和治疗选择.
为了解决SPHT缺乏确定的管理指南,特别是在无症状病例中.
根据当前的文献提出一个决策算法来管理SPHT.

主要方法:

对SPHT的病理生理机制,临床表现和治疗干预措施的文献综述.
对诊断方法的分析,包括成像和内镜手术.
评估外科手术和少入侵的治疗方式.

主要成果:

最常见的SPHT表现是严重的上部胃肠道出血,原因是食道或胃静脉破裂.
目前对SPHT缺乏管理建议,特别是对于无症状个体.
治疗选择范围从出血的医疗和干预性血液静止到有症状的病例的脊髓切除术,出现了不那么侵入性的放射和内镜手术.

结论:

在具有相关胰腺病史和特定临床症状的患者中,SPHT需要高的怀疑指数.
由于没有正式的指导方针,需要采用结构化的方法来管理SPHT.
拟议的决策算法旨在根据现有证据和患者状态指导SPHT的管理.

关键词:

在急性胰腺炎中,慢性胰腺炎慢性胰腺炎内镜血液静止症 (endoscopic hemostasis) 是一种内镜血液静止症.左侧门口高血压是左侧门口高血压.在胰腺外科手术中,细分门高血压是指细分门的高血压.脊椎切除术 (Splenectomy) 是一个切除脊椎的方法.骨静脉血栓形成的原因上部胃肠道出血胃肠道上部出血

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