门脉高压性小肠病

Portal hypertensive enteropathy

小肠改变是门脉高压门静脉高压症是一组由门静脉压力持续增高引起的症候群,最常见表现是消化道出血,特别是食管胃静脉曲张破裂出血。随着小肠检查手段的发展,特别是胶囊内镜和双气囊小肠镜,发现门脉高压下小肠发生了病变,被定义为门脉高压性小肠病(PHE),这种改变也是消化道出血的重要原因。消化道出血的患者,胃或食管没有静脉曲张情况下不应忽略PHE的排查。

Portal hypertension is a group of symptoms caused by the continuous increase of portal pressure.The most common manifestation is gastrointestinal bleeding,especially esophageal and gastric varices bleeding.With the development of small intestine examination,especially capsule endoscopy and double balloon enteroscopy,the portal hypertension features in the small intestine was defined as portal hypertension enterophy(PHE),which could be a source of gastrointestinal bleeding.Therefore,in patients with gastrointestinal bleeding,the examination of PHE should not be ignored when there is no varicose vein in the stomach or esophagus.