胰源性门脉高压并胃静脉曲张破裂出血研究进展

Research Progress on Pancreaticogenic Portal Hypertension Complicated with Gastric Variceal Hemorrhage

胰源性门脉高压症是一种见于胰腺相关疾病引起脾静脉受压闭塞或狭窄,脾静脉血流受阻,导致脾静脉压增高,进而发生脾大伴或不伴有胃静脉曲张的肝外型门脉高压症。胰源性门脉高压症合并胃静脉曲张破裂出血可危及生命。本文就其解剖学基础、病因、发病机制、诊断及治疗等对胰源性门脉高压症并胃曲张静脉破裂出血进行综述。

Pancreaticogenic portal hypertension(PPH)is a type of extrahepatic portal hypertension due to pancreatic related diseases,in which the splenic vein occluded or narrowed,splenic vein pressure increased by the splenic vein flow blocked,and then the splenomegaly with or without gastric varices(GV).PPH combined with GV hemorrhage can be life-threatening.In this article,the anatomic structure,etiology,pathogenesis,diagnosis,clinical manifestations and treatment of PPH are reviewed.