>
网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
双气囊小肠镜诊断门脉高压性小肠病五例及文献回顾
作者:王智1 3  俞谦1  王国祯2  陈平圣3 
单位:1. 东南大学附属中大医院 消化科, 江苏 南京 210009;
2. 英国利物浦大学 感染与全球卫生研究所 英国利物浦 L69 7BE;
3. 东南大学医学院 病理研究所, 江苏 南京 210009
关键词:肝硬化 门脉高压性小肠病 双气囊小肠镜 
分类号:R574.5
出版年·卷·期(页码):2019·38·第六期(1034-1037)
摘要:

目的:探讨肝硬化门脉高压性小肠病的研究现状。方法:收集5例行双气囊小肠镜检查的肝硬化门脉高压性小肠病患者的临床资料,结合国内外相关文献,对门脉高压性小肠病的内镜和病理学表现进行分析。结果:在5例肝硬化门脉高压性小肠病患者中,4例在小肠镜下获得诊断,1例小肠镜下表现无异常,通过病理学获得诊断。5例患者的组织学观察均有毛细血管扩张。结论:双气囊小肠镜及病理学检查有助于肝硬化门脉高压性小肠病的诊断。

Objective: To investigate the research status of portal hypertensive enteropathy of cirrhosis. Methods: The clinical data of 5 patients with portal hypertensive enteropathy of cirrhosis who underwent double-balloon enteroscopy(DBE) were collected.Combing with related literatures at home and abroad,the endoscopic and pathological manifestations were analyzed. Results: Among these 5 patients, 4 cases were diagnosed by DBE, 1 case showed no abnormalities under DBE and was diagnosed through pathology. Histological observation of the 5 patients showed telangiectasia. Conclusion: Double-balloon enteroscopy and pathologic examination are helpful for the early diagnosis of portal hypertensive enteropathy of cirrhosis.

参考文献:

[1] JEON S R,KIM J O.Capsule endoscopy for portal hypertensive enteropathy[J].Gastroenterol Res Pract,2016,2016:8501394.
[2] RONDONOTTI E,VILLA F,SIGNORELLI C,et al.Portal hypertensive enteropathy[J].Gastrointest Endosc Clin N Am,2006,16(2):277-286.
[3] DABOS K J,YUNG D E,BARTZIS L,et al.Small bowel capsule endoscopy and portal hypertensive enteropathy in cirrhotic patients:results from a tertiary referral centre[J].Ann Hepatol,2016,15(3):394-401.
[4] TANG S J.Portal hypertensive polypoid enteropathy[J].Gastrointest Endosc,2011,73(6):1332.
[5] DABOS K J,KOULAOUZIDIS A.Portal hypertensive enteropathy,occult bleeding,and capsule endoscopy:where do we go from here?[J].Dig Dis Sci,2014,59(5):899-901.
[6] SANTORO G A,AIELLO C,GALLORO G,et al.Massive lower gastrointestinal hemorrhage in patients with portal hypertensive enteropathy:a report of two cases[J].Hepatogastroenterology,1997,44(16):1029-1032.
[7] NAM S J,KIM J H,PARK S C.The usefulness of new-generation capsule endoscopy in patients with portal hypertensive enteropathy[J].Clin Endosc,2018,51(6):505-507.
[8] DE PALMA G D,REGA M,MASONE S,et al.Mucosal abnormalities of the small bowel in patients with cirrhosis and portal hypertension:a capsule endoscopy study[J].Gastrointest Endosc,2005,62(4):529-534.
[9] ABDELAAL U M,MORITA E,NOUDA S,et al.Evaluation of portal hypertensive enteropathy by scoring with capsule endoscopy:is transient elastography of clinical impact?[J].J Clin Biochem Nutr,2010,47(1):37-44.
[10] KODAMA M,UTO H,NUMATA M,et al.Endoscopic characterization of the small bowel in patients with portal hypertension evaluated by double balloon endoscopy[J].J Gastroenterol,2008,43(8):589-596.
[11] HIQAKI N,MATSUI H,IMAOKA H,et al.Characteristic endoscopic features of portal hypertensive enteropathy[J].J Gastroenterol,2008,43(5):327-331.
[12] JIANG Z N,DUAN X H,XIA L,et al.Histopathological observation of portal hypertensive enteropathy[J].Zhonghua Bing Li Xue Za Zhi,2018,47(12):953-954.
[13] LASKARATOS F M,TOUMPANAKIS C,CLARK I,et al.Diagnosis of polypoid portal hypertensive enteropathy due to superior mesenteric vein thrombosis by capsule endoscopy and double-balloon enteroscopy[J].Endoscopy,2014,46(Suppl 1):E592-E593.
[14] JEON S R,KIM J O,KIM J B,et al.Portal hypertensive enteropathy diagnosed by capsule endoscopy in cirrhotic patients:a nationwide multicenter study[J].Dig Dis Sci,2014,59(5):1036-1041.
[15] AL-AZZAWI Y,SPAHO L,MAHMOUD M,et al.Video capsule endoscopy in the assessment of portal hypertensive enteropathy[J].Int J Hepatol,2018,2018:5109689.
[16] TSAI C J,SANAKA M R,MENON K V,et al.Balloon-assisted enteroscopy in portal hypertensive enteropathy[J].Hepatogastroenterology,2014,61(134):1635-1641.
[17] EL-KHAYAT H R,EL KHATTIB A,NOSSEIR M,et al.Portal hypertensive enteropathy before and after variceal obliteration:an endoscopic,histopathologic and immunohistochemical study[J].J Gastrointestin Liver Dis,2010,19(2):175-179.
[18] OTANI I,OKA S,AIKATA H,et al.Exacerbation of portal hypertensive enteropathy after endoscopic injection sclerotherapy for esophageal varices[J].Digestion,2019:1-9.
[19] JIMENEZ-SAENZ M,ROMERO-VAZQUEZ J,CAUNEDO-ALVAREZ A,et al.Beneficial effects and reversion of vascular lesions by thalidomide in a patient with bleeding portal hypertensive enteropathy[J].Dig Liver Dis,2010,42(3):232-233.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 250346 位访问者


copyright ©《东南大学学报(医学版)》编辑部
联系电话:025-87232481 83272483
电子邮件:
bjb@pub.seu.edu.cn

苏ICP备09058364