Gastrointestinal Bleeding due to Pancreatic Disease-Related Portal Hypertension
المؤلفون المشاركون
Guo, Xiaozhong
Shao, Xiao-Dong
Bai, Zhaohui
Zheng, Kexin
Yi, Fangfang
Feng, Ji
Zhang, Yongguo
Zhang, Rui
Liu, Han
Romeiro, Fernando Gomes
Qi, Xingshun
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-03-27
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Background and Aims.
Left-sided portal hypertension (LSPH) is a rare type of portal hypertension, which occurs due to obstruction, stenosis, or thrombosis within the splenic vein.
Pancreatic diseases are the most common etiology of LSPH.
This study is aimed at reporting our experiences and discussing the presentation, management, and prognosis of LSPH secondary to pancreatic diseases.
Patients and Methods.
We retrospectively reviewed five patients who were diagnosed with LSPH secondary to pancreatic diseases at our department.
We collected the demographic information, history, comorbidities, clinical presentations, laboratory tests, esophagogastroduodenoscopy (EGD), images, and outcome data.
Results.
Three elderly patients (>60 years old) were diagnosed with pancreatic cancer, of whom one underwent laparoscopic radical distal pancreatectomy and splenectomy, one received chemotherapy, and another one chose conservative management due to multiple systemic metastases.
Two younger patients (<40 years old) were diagnosed with acute recurrent pancreatitis and chronic pancreatitis.
Four of these five included patients presented with hematemesis and/or melena at our admission.
All patients had gastric varices, and one of them also had esophageal varices.
One elderly patient with metastatic pancreatic cancer underwent endoscopic variceal treatment as a rescue therapy but finally died of refractory gastrointestinal (GI) bleeding; another younger patient with chronic pancreatitis died of massive GI bleeding; and the remaining three patients survived at their last follow-up.
Conclusions.
LSPH should be seriously taken into consideration in patients with pancreatic diseases who develop upper GI bleeding.
Clinicians should individualize the treatment strategy of LSPH according to the patients’ clinical conditions and nature of pancreatic diseases.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Zheng, Kexin& Guo, Xiaozhong& Feng, Ji& Bai, Zhaohui& Shao, Xiao-Dong& Yi, Fangfang…[et al.]. 2020. Gastrointestinal Bleeding due to Pancreatic Disease-Related Portal Hypertension. Gastroenterology Research and Practice،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1166780
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Zheng, Kexin…[et al.]. Gastrointestinal Bleeding due to Pancreatic Disease-Related Portal Hypertension. Gastroenterology Research and Practice No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1166780
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Zheng, Kexin& Guo, Xiaozhong& Feng, Ji& Bai, Zhaohui& Shao, Xiao-Dong& Yi, Fangfang…[et al.]. Gastrointestinal Bleeding due to Pancreatic Disease-Related Portal Hypertension. Gastroenterology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1166780
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1166780
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر