输卵外静脉出血的内镜治疗:多中心的回顾性病例系列
Mohamed Ali El-Nady1, Mahmoud Wahba1, Oussama Ebada2
1Department of Internal Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.
Przeglad gastroenterologiczny
|January 13, 2025
概括
宫外静脉,通常在直肠中发现,可以导致胃肠道出血. 十二指管静脉动脉与直肠静脉动脉不同,具有更高的再出血风险,需要进行干预.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 干预性放射学 干预性放射学
背景情况:
- 门性高血压是肝硬化的一种并发症,导致静脉的形成.
- 宫外静脉是胃食道区域外发现的扩张静脉.
- 这些静脉动脉可以引起显著的胃肠道出血.
研究的目的:
- 通过内镜评估子宫外静脉并评估静血干预措施.
- 审查文献,并将研究结果与有关异位的现有数据进行比较.
主要方法:
- 对胃肠道出血患者的内镜报告的回顾性分析.
- 包括有关干预,住院和随访的数据.
- 用于比较分析的文献综述.
主要成果:
- 在95名胃肠道出血患者中,28名患者患有子宫外静脉.
- 最常见的是直肠静脉病变 (9例),其次是十二指肠静脉病变 (17例).
- 十二指管静脉瘤显示出更高的复出血率 (5例),需要干预性放射学.
结论:
- 紧急内镜对于诊断子宫外静脉的诊断至关重要.
- 直肠静脉瘤是常见的,但十二指肠静脉瘤带来更大的再次出血的风险,需要干预.
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