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ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 38 Issue 9
Sep.  2022
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Article Contents

Clinical significance, diagnosis, and treatment of special portosystemic collateral veins in portal hypertension

DOI: 10.3969/j.issn.1001-5256.2022.09.040
Research funding:

National Natural Science Foundation of China (81972305);

2017 Key Industrial R&D Projects of Chongqing (Major Theme Special Project) (721-2873)

More Information
  • Corresponding author: CUI Hongli, 2465517206@qq.com(ORCID: 0000-0002-8907-2996)
  • Received Date: 2022-01-29
  • Accepted Date: 2022-04-20
  • Published Date: 2022-09-20
  • With the deeper understanding of the pathophysiological mechanism of portal hypertension and the enrichment and refinement of examination methods, special portosystemic collateral veins (PSCVs) caused by portal hypertension are constantly identified and recognized. However, early identification and diagnosis and formulation of reasonable and effective treatment regimens are difficult issues in clinical practice due to complicated clinical manifestations, difficulties in diagnosis and treatment, severe complications, poor prognosis, and high mortality. This article elaborates on the anatomic structure, clinical significance, diagnostic methods, and treatment of special PSCVs caused by portal hypertension.

     

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  • [1]
    CHEN GH, WANG GC, ZHANG CQ. Idiopathic non-cirrhotic portal hypertension: current progress of diagnosis and treatment[J/CD]. Chin J Digest Med Imageol (Electronic Edition), 2021, 11(3): 132-138. DOI: 10.3877/cma.j.issn.2095-2015.2021.03.007.

    陈功海, 王广川, 张春清. 特发性非肝硬化门静脉高压症诊治进展[J/CD]. 中华消化病与影像杂志(电子版), 2021, 11(3): 132-138. DOI: 10.3877/cma.j.issn.2095-2015.2021.03.007.
    [2]
    Chinese Portal Hypertension Diagnosis and Monitoring Study Group (CHESS); Minimally Invasive Intervention Collaborative Group, Chinese Society of Gastroenterology; Emergency Intervention Committee, Chinese College of Interventionalists, et al. Consensus on clinical application of hepatic venous pressure gradient in China (2018)[J]. J Clin Hepatol, 2018, 34(12): 2526-2536. DOI: 10.3969/j.issn.1001-5256.2018.12.008.

    中国门静脉高压诊断与监测研究组(CHESS), 中华医学会消化病学分会微创介入协作组, 中国医师协会介入医师分会急诊介入专业委员会, 等. 中国肝静脉压力梯度临床应用专家共识(2018版)[J]. 临床肝胆病杂志, 2018, 34(12): 2526-2536. DOI: 10.3969/j.issn.1001-5256.2018.12.008.
    [3]
    HIROOKA M, TANAKA T, KOIZUMI Y, et al. Accurate reflection of hepatic venous pressure gradient by spleen stiffness measurement in patients with low controlled attenuation parameter values[J]. JGH Open, 2021, 5(10): 1172-1178. DOI: 10.1002/jgh3.12647.
    [4]
    LI X, TU Y, TANG B, et al. Research advances in cirrhotic portal hypertension with spontaneous portosystemic shunt[J]. J Clin Hepatol, 2021, 37(10): 2435-2438. DOI: 10.3969/j.issn.1001-5256.2021.10.037.

    李雪, 涂颖, 唐斌, 等. 肝硬化门静脉高压伴自发性门体分流的研究进展[J]. 临床肝胆病杂志, 2021, 37(10): 2435-2438. DOI: 10.3969/j.issn.1001-5256.2021.10.037.
    [5]
    YIPENG W, ANJIANG W, BIMIN L, et al. Clinical characteristics and efficacy of endoscopic treatment of gastrointestinal ectopic varices: A single-center study[J]. Saudi J Gastroenterol, 2021, 27(1): 35-43. DOI: 10.4103/sjg.SJG_50_20.
    [6]
    WAN YP, LIU C, ZHU X. Advances in diagnosis and treatment of duodenal varices[J]. Chin J Dig Endosc, 2021, 38(2): 163-166. DOI: 10.3760/cma.j.cn321463-20200108-00025.

    万义鹏, 刘聪, 朱萱. 十二指肠静脉曲张的诊治进展[J]. 中华消化内镜杂志, 2021, 38(2): 163-166. DOI: 10.3760/cma.j.cn321463-20200108-00025.
    [7]
    ANAND R, ALI SE, RAISSI D, et al. Duodenal variceal bleeding with large spontaneous portosystemic shunt treated with transjugular intrahepatic portosystemic shunt and embolization: A case report[J]. World J Radiol, 2019, 11(8): 110-115. DOI: 10.4329/wjr.v11.i8.110.
    [8]
    MEN CJ, ZHANG GL. Ectopic varicose veins after liver transplantation: a case report[J]. Chin J Dig Endosc, 2021, 38(3): 239-240. DOI: 10.3760/cma.j.cn321463-20200614-00764.

    门昌君, 张国梁. 肝移植术后异位静脉曲张一例[J]. 中华消化内镜杂志, 2021, 38(3): 239-240. DOI: 10.3760/cma.j.cn321463-20200614-00764.
    [9]
    YANG SX, ZHONG JW, YU LM, et al. Clinical effect of modified sandwich method in treatment of duodenal variceal bleeding: A case report[J]. China J Endosc, 2021, 27(1): 86-88. DOI: 10.12235/E20180602.

    杨守醒, 钟金伟, 俞玲敏, 等. 改良"三明治夹心法"治疗十二指肠静脉曲张破裂出血1例[J]. 中国内镜杂志, 2021, 27(1): 86-88. DOI: 10.12235/E20180602.
    [10]
    HAN JJ, CHU JD, ZHANG WH. Duodenal variceal hemorrhage: a case report and literature review[J/CD]. Chin J Gastrointestinal Endosc (Electronic Edition), 2020, 7(3): 143-144. DOI: 10.3877/cma.j.issn.2095-7157.2020.03.010.

    韩晶晶, 楚金东, 张文辉. 十二指肠静脉曲张破裂出血1例并文献复习[J/CD]. 中华胃肠内镜电子杂志, 2020, 7(3): 143-144. DOI: 10.3877/cma.j.issn.2095-7157.2020.03.010.
    [11]
    LI JG, TAN YY, LIU DL. Endoscopic treatment of ectopic varices of duodenum: a case report[J]. Chin J Dig Endosc, 2020, 37(3): 211-212. DOI: 10.3760/cma.j.cn321463-20191030-01195.

    李京菊, 谭玉勇, 刘德良. 内镜治疗十二指肠异位静脉曲张一例[J]. 中华消化内镜杂志, 2020, 37(3): 211-212. DOI: 10.3760/cma.j.cn321463-20191030-01195.
    [12]
    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. DOI: 10.1155/2018/5109689.
    [13]
    JEON SR, KIM JO, KIM JB, 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. DOI: 10.1007/s10620-014-3036-3.
    [14]
    WANG Z, YU Q, WANG GZ, et al. Diagnosis of five cases portal hypertensive enteropathy by double balloon enteroscopy and literature reviews[J]. J Southeast Univ (Med Sci Edi), 2019, 38(6): 1034-1037. DOI: 10.3969/j.issn.1671-6264.2019.06.020.

    王智, 俞谦, 王国祯, 等. 双气囊小肠镜诊断门脉高压性小肠病五例及文献回顾[J]. 东南大学学报(医学版), 2019, 38(6): 1034-1037. DOI: 10.3969/j.issn.1671-6264.2019.06.020.
    [15]
    AHMED S, MUMTAZ K, AHMED US, et al. Frequency and characteristic features of portal hypertensive gastropathy in patients with viral cirrhosis[J]. J Coll Physicians Surg Pak, 2010, 20(11): 714-718. DOI: 11.2010/JCPSP.714718.
    [16]
    WATANABE N, TOYONAGA A, KOJIMA S, et al. Current status of ectopic varices in Japan: Results of a survey by the Japan Society for Portal Hypertension[J]. Hepatol Res, 2010, 40(8): 763-776. DOI: 10.1111/j.1872-034X.2010.00690.x.
    [17]
    de FRANCHIS R, BOSCH J, GARCIA-TSAO G, et al. Baveno Ⅶ-Renewing consensus in portal hypertension[J]. J Hepatol, 2022, 76(4): 959-974. DOI: 10.1016/j.jhep.2021.12.022.
    [18]
    LI H, SUN PM, SUN HW, et al. Progress in clinical diagnosis and treatment of cavernous transformation of the portal vein[J]. World Chin J Dig, 2021, 29(12): 662-669. DOI: 10.11569/wcjd.v29.i12.662.

    李昊, 孙培鸣, 孙宏伟, 等. 门静脉海绵样变性的临床诊疗进展[J]. 世界华人消化杂志, 2021, 29(12): 662-669. DOI: 10.11569/wcjd.v29.i12.662.
    [19]
    YANG Q, ZHAN YS, HUANG XL, et al. Clinical characters and etiology of cavernous transformation of portal vein[J/CD]. Chin J Digest Med Imageol (Electronic Edition), 2013, 3(3): 119-123. DOI: 10.3877/cma.j.issn.2095-2015.2013.03.003.

    杨齐, 詹雅诗, 黄晓丽, 等. 门静脉海绵样变临床特点及病因分析[J/CD]. 中华消化病与影像杂志(电子版), 2013, 3(3): 119-123. DOI: 10.3877/cma.j.issn.2095-2015.2013.03.003.
    [20]
    YIN ZY, WANG LS, ZHANG Y. Ultrasonographic features of cavernous transformation of the portal vein in patients with chronic liver diseases[J]. J Prac Hepatol, 2021, 24(4): 540-543. DOI: 10.3969/j.issn.1672-5069.2021.04.022.

    殷志勇, 王连双, 张瑶. 超声检查门静脉海绵样变特征表现[J]. 实用肝脏病杂志, 2021, 24(4): 540-543. DOI: 10.3969/j.issn.1672-5069.2021.04.022.
    [21]
    Hepatobiliary Disease Study Group, Chinese Society of Gastroenterology, Chinese Medical Association. Consensus for management of portal vein thrombosis in liver cirrhosis (2020, Shanghai)[J]. J Clin Hepatol, 2020, 36(12): 2667-2674. DOI: 10.3969/j.issn.1001-5256.2020.12.007.

    中华医学会消化病学分会肝胆疾病学组. 肝硬化门静脉血栓管理专家共识(2020年, 上海)[J]. 临床肝胆病杂志, 2020, 36(12): 2667-2674. DOI: 10.3969/j.issn.1001-5256.2020.12.007.
    [22]
    de SANTIS A, MOSCATELLI R, CATALANO C, et al. Systemic thrombolysis of portal vein thrombosis in cirrhotic patients: a pilot study[J]. Dig Liver Dis, 2010, 42(6): 451-455. DOI: 10.1016/j.dld.2009.08.009.
    [23]
    JIANG TT, LUO XP, SUN JM, et al. Clinical outcomes of transcatheter selective superior mesenteric artery urokinase infusion therapy vs transjugular intrahepatic portosystemic shunt in patients with cirrhosis and acute portal vein thrombosis[J]. World J Gastroenterol, 2017, 23(41): 7470-7477. DOI: 10.3748/wjg.v23.i41.7470.
    [24]
    GUO HJ, GUO CB. Clinical progress in diagnosis and treatment of spongiosis of portal vein in children[J]. J Mod Med Health, 2018, 34(9): 1342-1345. DOI: 10.3969/j.issn.1009-5519.2018.09.020.

    郭洪杰, 郭春宝. 儿童门静脉海绵样变性临床诊治进展[J]. 现代医药卫生, 2018, 34(9): 1342-1345. DOI: 10.3969/j.issn.1009-5519.2018.09.020.
    [25]
    WU Q, SHEN L, CHU J, et al. Characterization of uncommon portosystemic collateral circulations in patients with hepatic cirrhosis[J]. Oncol Lett, 2015, 9(1): 347-350. DOI: 10.3892/ol.2014.2626.
    [26]
    YI F, GUO X, WANG L, et al. Impact of spontaneous splenorenal shunt on liver volume and long-term survival of liver cirrhosis[J]. J Gastroenterol Hepatol, 2021, 36(6): 1694-1702. DOI: 10.1111/jgh.15386.
    [27]
    INOUE H, EMORI K, TOYONAGA A, et al. Long term results of balloon-occluded retrograde transvenous obliteration for portosystemic shunt encephalopathy in patients with liver cirrhosis and portal hypertension[J]. Kurume Med J, 2014, 61(1-2): 1-8. DOI: 10.2739/kurumemedj.MS63014.
    [28]
    WANG M, LI HX, YE D, et al. A multicenter clinical study of titanium clip combined with tissue adhesive in the treatment of gastric varices[J]. Chin J Gen Prac, 2020, 18(8): 1290-1293, 1379. DOI: 10.16766/j.cnki.issn.1674-4152.001488.

    王敏, 李会贤, 叶东, 等. 钛夹联合组织黏合剂治疗胃静脉曲张的多中心临床研究[J]. 中华全科医学, 2020, 18(8): 1290-1293, 1379. DOI: 10.16766/j.cnki.issn.1674-4152.001488.
    [29]
    WANG T, LI MS, HAN QR, et al. Analysis of the incidence and prognosis of spontaneous portosystemic shunt in patients with cirrhosis[J]. Chin Hepatol, 2020, 25(9): 948-951. DOI: 10.3969/j.issn.1008-1704.2020.09.017.

    王涛, 李木松, 韩秋然, 等. 肝硬化患者白发性门体分流发生率及预后分析[J]. 肝脏, 2020, 25(9): 948-951. DOI: 10.3969/j.issn.1008-1704.2020.09.017.
    [30]
    JIANG P, WANG SP, LIU YH. A case of portal biliopathy[J]. J Clin Hepatol, 2022, 38(2): 430-432. DOI: 10.3969/j.issn.1001-5256.2022.02.034.

    姜朋, 王树鹏, 刘亚辉. 门静脉性胆道病1例报告[J]. 临床肝胆病杂志, 2022, 38(2): 430-432. DOI: 10.3969/j.issn.1001-5256.2022.02.034.
    [31]
    CHATTOPADHYAY S, GOVINDASAMY M, SINGLA P, et al. Portal biliopathy in patients with non-cirrhotic portal hypertension: does the type of surgery affect outcome?[J]. HPB (Oxford), 2012, 14(7): 441-447. DOI: 10.1111/j.1477-2574.2012.00473.x.
    [32]
    PANG SJ, YE QW, SHI Y, et al. Progress in clinical diagnosis and treatment of portal hypertension biliary disease[J]. J Hepatopancreatobiliary Surg, 2015, 27(5): 431-433. DOI: 10.11952/j.issn.1007-1954.2015.05.027.

    庞书杰, 叶庆旺, 施洋, 等. 门脉高压性胆病临床诊疗进展[J]. 肝胆胰外科杂志, 2015, 27(5): 431-433. DOI: 10.11952/j.issn.1007-1954.2015.05.027.
    [33]
    SONG R, HUANG ZK, LONG LL, et al. The evaluation of cardiophrenic angle varices in portal hypertension with MSCT[J]. J Pract Radiol, 2007, 23(1): 63-65. DOI: 10.3969/j.issn.1002-1671.2007.01.019.

    宋瑞, 黄仲奎, 龙莉玲, 等. 门脉高压心膈角静脉曲张MSCT研究[J]. 实用放射学杂志, 2007, 23(1): 63-65. DOI: 10.3969/j.issn.1002-1671.2007.01.019.
    [34]
    SONG CY, ZHENG ED, JIN Y, et al. A case of ectopic varicose portal hypertension with cirrhosis[J]. J Wenzhou Med Univ, 2019, 49(8): 612-613, 618. DOI: 10.3969/j.issn.2095-9400.2019.08.013.

    宋彩云, 郑恩典, 金尹, 等. 肝硬化门静脉高压症异位静脉曲张1例[J]. 温州医科大学学报, 2019, 49(8): 612-613, 618. DOI: 10.3969/j.issn.2095-9400.2019.08.013.
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