GASTROINTESTINAL HEMORRHAGE FROM ADHESION-RELATED MESENTERIC VARICES
GASTROINTESTINAL HEMORRHAGE FROM ADHESION-RELATED MESENTERIC VARICES
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DOI：
10.1097/00000658-197601000-00005
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发表时间：
1976-01-01
影响因子：
9
通讯作者：
ABBOTT, WM
中科院分区：
文献类型：
--
作者：
MONCURE, AC;WALTMAN, AC;ABBOTT, WM
对小肠内发生的门体静脉分流出血的回顾性分析结果表明，肠系膜动脉造影静脉期显示的异常部位存在静脉曲张，强烈提示该综合征的早期诊断。所有患者均存在门静脉高压，并且所有受影响的肠均与术后旧缝合线粘连。该综合征的治疗方法有粘连松解术、肠切除术或门体分流术。那些肝储备良好的患者存活下来，并且没有进一步的消化道出血。
As a result of this retrospective analysis of hemorrhage from a porta-systemic venous shunt occurring within the small intestine, we believe that the early diagnosis of the syndrome is strongly suggested by the presence of varices in unusual locations demonstrated by the venous phase of mesenteric arteriography. In all patients portal hypertension was present, and in all the affected bowel was adherent to postoperative adhesions on old suture lines. The syndrome was treated variously with lysis of adhesions, bowel resection, or portal-systemic shunt. Those patients with excellent hepatic reserve survived and had no further gastrointestinal bleeding.