Ectopic varices

被引：45
作者：
Almadi, Majid Abdulrahman [1 ,2 ,3 ]
Almessabi, Abdulqader [1 ,2 ,4 ]
Wong, Philip [1 ,2 ]
Ghali, Peter M. [1 ,2 ]
Barkun, Alan [1 ,2 ]
机构：
[1] McGill Univ, Div Gastroenterol, Montreal, PQ H3A 1A1, Canada
[2] McGill Univ, Ctr Hlth, Montreal, PQ H3A 1A1, Canada
[3] King Saud Univ, King Khalid Univ Hosp, Div Gastroenterol, Riyadh, Saudi Arabia
[4] Mafraq Hosp, Div Hepatol, Abu Dhabi, U Arab Emirates
来源：
GASTROINTESTINAL ENDOSCOPY | 2011年 / 74卷 / 02期
关键词：
RETROGRADE TRANSVENOUS OBLITERATION; INTRAHEPATIC PORTOSYSTEMIC SHUNT; BLEEDING DUODENAL VARICES; SMALL-BOWEL VARICES; GASTROESOPHAGEAL ENDOSCOPIC FEATURES; UPPER GASTROINTESTINAL HEMORRHAGE; NONCIRRHOTIC PORTAL-HYPERTENSION; OF-THE-LITERATURE; ANORECTAL VARICES; RECTAL VARICES;
D O I：
10.1016/j.gie.2011.03.1177
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
One manifestation of portal hypertension, gastroesophageal varices, accounts for significant morbidity and mortality caused by bleeding in this patient population. Although uncommon, ectopic varices can involve any other part of the GI tract and are challenging for clinicians to identify, diagnose, and manage. Missing or misinterpreting these lesions can carry grave consequences, and the management options for these lesions are unclear in the literature. In this article, we review the vascular anatomy of the portal venous system, the etiologies of portal hypertension, and the parts of the GI tract that could be involved with ectopic varices. Different diagnostic modalities as well as pharmacologic, endoscopic, angiographic, and surgical management options are discussed.
引用
收藏
页码：380 / 388
页数：9
相关论文
共 95 条
[81]   Transjugular intrahepatic portosystemic shunt for treatment of bleeding ectopic varices with portal hypertension [J].
Shibata, D ;
Brophy, DP ;
Gordon, FD ;
Anastopoulos, HT ;
Sentovich, SM ;
Bleday, R .
DISEASES OF THE COLON & RECTUM, 1999, 42 (12) :1581-1585
[82]  
Silberzweig JE, 1997, AM J GASTROENTEROL, V92, P1060
[83]   THE VENOUS ANATOMY OF THE LOWER ESOPHAGUS IN NORMAL SUBJECTS AND IN PATIENTS WITH VARICES - AN IMAGE-ANALYSIS STUDY [J].
SPENCE, RAJ .
BRITISH JOURNAL OF SURGERY, 1984, 71 (10) :739-744
[84]   Bleeding stomal varices: Case series and systematic review of the literature [J].
Spier, Bret J. ;
Fayyad, Abdullah A. ;
Lucey, Michael R. ;
Johnson, Eric A. ;
Wojtowycz, Myron ;
Rikkers, Layton ;
Harms, Bruce A. ;
Reichelderfer, Mark .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2008, 6 (03) :346-352
[85]   EXTENSIVE VARICES OF ILEOCECUM - REPORT OF A CASE [J].
SUGIYAMA, S ;
YASHIRO, K ;
NAGASAKO, K ;
SATO, S ;
WATANABE, K ;
IGARASHI, T ;
HANYU, F ;
OBATA, H .
DISEASES OF THE COLON & RECTUM, 1992, 35 (11) :1089-1091
[86]   Diagnosis of small-bowel varices by capsule endoscopy [J].
Tang, SJ ;
Zanati, S ;
Dubcenco, E ;
Cirocco, M ;
Christodoulou, D ;
Kandel, G ;
Haber, GB ;
Kortan, P ;
Marcon, NE .
GASTROINTESTINAL ENDOSCOPY, 2004, 60 (01) :129-135
[87]   Epidemiology of acute upper gastrointestinal bleeding [J].
van Leerdam, M. E. .
BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY, 2008, 22 (02) :209-224
[88]   Bleeding ectopic varices - treatment with transjugular intrahepatic porto-systemic shunt (TIPS) and embolisation [J].
Vangeli, M ;
Patch, D ;
Terreni, N ;
Tibballs, J ;
Watkinson, A ;
Davies, N ;
Burroughs, AK .
JOURNAL OF HEPATOLOGY, 2004, 41 (04) :560-566
[89]   NORMAL VENOUS CIRCULATION OF THE GASTROESOPHAGEAL JUNCTION - A ROUTE TO UNDERSTANDING VARICES [J].
VIANNA, A ;
HAYES, PC ;
MOSCOSO, G ;
DRIVER, M ;
PORTMANN, B ;
WESTABY, D ;
WILLIAMS, R .
GASTROENTEROLOGY, 1987, 93 (04) :876-889
[90]   Usefulness of transjugular intrahepatic portosystemic shunt in the management of bleeding ectopic varices in cirrhotic patients [J].
Vidal, V ;
Joly, L ;
Perreault, P ;
Bouchard, L ;
Lafortune, M ;
Pomier-Layrargues, G .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2006, 29 (02) :216-219
12345678910