中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

少见、罕见疾病所致门静脉高压症的诊断与治疗

王宇 王民 欧晓娟 贾继东

引用本文:
Citation:

少见、罕见疾病所致门静脉高压症的诊断与治疗

DOI: 10.3969/j.issn.1001-5256.2019.01.005
基金项目: 

首都临床特色应用研究与成果推广(Z171100001017037); 北京市卫生系统高层次卫生技术人才学科骨干资助项目(2015-3-003); 

详细信息
  • 中图分类号: R575.2

Diagnosis and treatment of portal hypertension caused by rare diseases

Research funding: 

 

  • 摘要: 少见、罕见疾病所致门静脉高压症多属于窦前性(肝前)或肝后性门静脉高压症。因多数为非肝硬化门静脉高压症,故肝静脉压力梯度不能准确反映其门静脉压力,临床诊治存在较大困难。此类疾病种类较多,重点介绍了6种少见、罕见疾病所致门静脉高压症的机理和治疗进展,并就目前的治疗现状进行了总结,希望对提高临床医生对此类疾病的认识有所帮助。

     

  • [1]BARGE S, GRANDO V, NAULT JC, et al.Prevalence and clinical significance of nodular regenerative hyperplasia in liver biopsies[J].Liver Int, 2016, 36 (7) :1059-1066.
    [2]HARTLEB M, GUTKOWSKI K, MILKIEWICZ P.Nodular regenerative hyperplasia:Evolving concepts on underdiagnosed cause of portal hypertension[J].World J Gastroenterol, 2011, 17 (11) :1400-1409.
    [3]BISSONNETTE J, GENEREUX A, COTE J, et al.Hepatic hemodynamics in 24 patients with nodular regenerative hyperplasia and symptomatic portal hypertension[J].J Gastroenterol Hepatol, 2012, 27 (8) :1336-1340.
    [4]LAL BK, STANLEY A.Nodular regenerative hyperplasia related portal hypertension in a patient with hypogammaglobulinaemia[J].World J Gastroenterol, 2013, 19 (22) :3502-3504.
    [5]TRIPATHI D, FERGUSON JW, THERAPONDOS G, et al.Review article:recent advances in the management of bleeding gastric varices[J].Aliment Pharmacol Ther, 2006, 24 (1) :1-17.
    [6]MANZIA TM, GRAVANTE G, di PAOLO D, et al.Liver transplantation for the treatment of nodular regenerative hyperplasia[J].Dig Liver Dis, 2011, 43 (12) :929-934.
    [7]ALVAREZ-LARRAN A, ABRALDES JG, CERVANTES F, et al.Portal hypertension secondary to myelofibrosis:A study of three cases[J].Am J Gastroenterol, 2005, 100 (10) :2355-2358.
    [8]TAN HK, LEOW WQ, CHANG PE.Ruxolitinib for the Treatment of Portal Hypertension in a Patient With Primary Myelofibrosis[J].Gastroenterology, 2017.[Epub ahead of print]
    [9]VERSTOVSEK S, MESA RA, GOTLIB J, et al.A doubleblind, placebo-controlled trial of ruxolitinib for myelofibrosis[J].N Engl J Med, 2012, 366 (9) :799-807.
    [10]VERSTOVSEK S, MESA RA, GOTLIB J, et al.Long-term treatment with ruxolitinib for patients with myelofibrosis:5-year update from the randomized, double-blind, placebocontrolled, phase 3 COMFORT-I trial[J].J Hematol Oncol, 2017, 10 (1) :55.
    [11]MARCHETTI M, BAROSI G, CERVANTES F, et al.Which patients with myelofibrosis should receive ruxolitinib therapy?ELN-SIE evidence-based recommendations[J].Leukemia, 2017, 31 (4) :882-888.
    [12]YAN M, GEYER H, MESA R, et al.Clinical features of patients with philadelphia-negative myeloproliferative neoplasms complicated by portal hypertension[J].Clin Lymphoma Myeloma Leuk, 2015, 15 (1) :e1-e5.
    [13]GENTILUCCI UV, GALLO P, PERRONE G, et al.Non-cirrhotic portal hypertension with large regenerative nodules:Adiagnostic challenge[J].World J Gastroenterol, 2011, 17 (20) :2580-2584.
    [14]GRTZEN J, HUNKA LM, VONNAHME M, et al.γ-Glutamyl transferase is an independent biomarker of splanchnic thrombosis in patients with myeloproliferative neoplasm[J].Medicine (Baltimore) , 2016, 95 (20) :e3355.
    [15]REILLY CR, BABUSHOK DV, MARTIN K, et al.Multicenter analysis of the use of transjugular intrahepatic portosystemic shunt (TIPS) for management of MPN-associated portal hypertension[J].Am J Hematol, 2017, 92 (9) :909-914.
    [16]SAMUELSON BT, VESELY SK, CHAI-ADISAKSOPHA C, et al.The impact of ruxolitinib on thrombosis in patients with polycythemia vera and myelofibrosis:A meta-analysis[J].Blood Coagul Fibrinolysis, 2016, 27 (16) :648-652.
    [17]PIERI L, PAOLI C, ARENA U, et al.Safety and efficacy of ruxolitinib in splanchnic vein thrombosis associaged with myeloproliferative neoplasms[J].Am J Hematol, 2017, 92 (9) :187-195.
    [18]ZHAO G, WU ZY, ZHANG B, et al.Diagnosis and treatment of portal hypertension secondary to myeloproliferative disorders:A report of three cases[J].J Dig Dis, 2011, 12 (4) :312-316.
    [19]GIANOTTI R, CHARLES H, HYMES K, et al.Treatment of gastric varices with partial splenic embolization in a patient with portal vein thrombosis and a myeloproliferative disorder[J].World J Gastroenterol, 2014, 20 (39) :14495-14499.
    [20] WEHRMAN A, KRIEGERMEIER A, WEN J, et al.Diagnosis and management of hepatobiliary complications in autosomal recessive polycystic kidney disease[J].Front Pediatr, 2017, 5:124.
    [21]UMAR J, JOHN S.Caroli Disease[M].SourceStatPearls[Internet].Treasure Island (FL) :Stat Pearls Publishing, 2018.
    [22]MOSLIM MA, GUNASEKARAN G, VOGT D, et al.Surgical management of Caroli's disease:Single center experience and review of the literature[J].J Gastrointest Surg, 2015, 19 (11) :2019-2027.
    [23]JANOWSKI K, GOLISZEK M, CIELECKA-KUSZYK J, et al.Congenital hepatic fibrosis in a 9-year-old female patienta case report[J].Clin Exp Hepatol, 2017, 3 (3) :176-179.
    [24]MAZIGH MS, ALOUI N, FETNI I, et al.Congential hepatic fibrosis in children.Report of 9 cases and review of the literature[J].Tunis Med, 2006, 84 (3) :182-188.
    [25]SRINATH A, SHNEIDER BL.Congenital hepatic fibrosis in a 9-year-old female patient-a case report[J].Clin Exp Hepatol, 2017, 3 (3) :176-179.
    [26]MILLWALA F, SEGEV DL, THULUVATH PJ, et al.Caroli's disease and outcomes after liver transplantation[J].Liver Transpl, 2008, 14 (1) :11-17.
    [27]CHANDOK N.Polycystic liver disease:A clinical review[J].Ann Hepatol, 2012, 11 (6) :819-826.
    [28]QIAN Q.Isolated polycystic liver disease[J].Adv Chronic Kidney Dis, 2010, 17 (2) :181-189.
    [29]GEVERS TJ, DRENTH JP.Somatostatin analogues for treatment of polycystic liver disease[J].Curr Opin Gastroenterol, 2011, 27 (3) :294-300.
    [30]HOGAN MC, MASYUK TV, PAGE L, et al.Somatostatin analog therapy for severe polycystic liver disease:Results after 2years[J].Nephrol Dial Transplant, 2012, 27 (9) :3532-3539.
    [31]QIAN Q, DU H, KING BF, et al.Sirolimus reduces polycystic liver volume in ADPKD patients[J].J Am Soc Nephrol, 2008, 19 (3) :631-638.
    [32]KHAN MS, KHAN Z, JAVAID T, et al.Isolated polycystic liver disease:An unusual cause of recurrent variceal bleed[J].Case Rep Gastrointest Med, 2018, 2018:2902709.
    [33]van KEIMPEMA L, NEVENS F, ADAM R, et al.Excellent survival after liver transplantation for isolated polycystic liver disease:An European liver transplant registry study[J].Transpl Int, 2011, 24 (12) :1239-1245.
    [34]JAMES SP, STROMEYER FW, CHANG C, et al.Liver abnormalities in patients with Gaucher's disease[J].Gastroenterology, 1981, 80 (1) :126-133.
    [35]CANO RUIZ A, MARTíN SCAPA A, MONESCILLO FRANCIA A, et al.Gaucher’s disease type 1:An infrequent cause of portal hypertension[J].Ann Med Interna, 1998, 15 (9) :483-484.
    [36]BANDYOPADHYAY R, BANDYPADHYAY S, MAITY PK.Gauchers disease presenting with portal hypertension[J].Indian Pediatr, 2011, 48 (10) :801-802.
    [37]REGENBOOG M, van DUSSEN L, VERHEIJ J, et al.Hepatocellular carcinoma in Gaucher disease:An international case series[J], J Inherit Metab Dis, 2018, 41 (5) :819-827.
    [38]ADAR T, ILAN Y, ELSTEIN D, et al.Liver involvement in Gaucher disease-review and clinical approach[J].Blood Cells Mol Dis, 2018, 68:66-73.
    [39]AYTO RM, HUGHES DA, JEEVARATNAM P, et al.Longterm outcomes of liver transplantation in type 1 Gaucher disease[J].Am J Transplant, 2010, 10 (8) :1934-1039.
  • 加载中
计量
  • 文章访问数:  1784
  • HTML全文浏览量:  41
  • PDF下载量:  447
  • 被引次数: 0
出版历程
  • 出版日期:  2019-01-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回