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Diagnosis and treatment of pancreatic portal hypertension
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摘要: 胰腺疾病是区域性门脉高压症最常见的病因。孤立性胃底静脉曲张、肝功能正常、脾肿大是胰源性门脉高压最典型的临床表现。胰源性门脉高压症并发胃底静脉曲张破裂出血最有效的治疗是脾切除术,但预后主要取决于胰腺原发疾病。Abstract: Pancreatic disease is the most common etiology of left-sided portal hypertension.The major clinical symptoms of pancreatic portal hypertension are isolated gastric fundus varices with normal liver function and unexplained splenomegaly.Splenectomy is the treatment of choice for cases complicated by variceal bleeding.The prognosis of this rare clinical syndrome mainly depends on the underlying etiology.
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Key words:
- hypertension portal /
- pancreatic disease
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[1]Sakorafas GH, Sarr MG, Farley DR, et al.The significanceof sinistral portal hypertension complicating chronic pancreati-tis[J].Am J Surg, 2000, 179 (2) :129-133. [2]张谊, 张启瑜, 廖毅.区域性门静脉高压症的诊断与治疗[J].肝胆胰外科杂志, 2009, 21 (1) :34-36. [3]K klüS, oban, Yüksel O, et al.Left-Sided Portal Hypertension[J].Dig Dis Sci, 2007, 52 (5) :1141-1149. -
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