青少年十二指肠吻合口静脉曲张出血结扎成功1例。

JPGN reports Pub Date : 2025-03-17 eCollection Date: 2025-05-01 DOI:10.1002/jpr3.70017
Lauren E Hamilton, Joshua Carroll, Paul Tran
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引用次数: 0

摘要

异位静脉曲张被定义为发生在心食道以外胃肠道的门静脉侧支。十二指肠静脉曲张不是儿科胃肠病学家经常遇到的。在本病例报告的时间,没有共识的指导方针,处理出血十二指肠静脉曲张的儿科患者。这是一例14岁的年轻女性,因短肠综合征而有多内脏移植史。患者在移植吻合口附近出现十二指肠静脉曲张,偶然在内镜下活检导致出血,需要内镜止血。本病例强调需要认识到十二指肠静脉曲张是儿童胃肠道出血的潜在病因,并说明绑扎是一种有效的止血方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A case report of successful band ligation of bleeding anastomotic duodenal varix in an adolescent patient.

Ectopic varices are defined as portosystemic venous collaterals occurring in the gastrointestinal tract outside of the cardio-esophageal region. Duodenal varices are not routinely encountered by pediatric gastroenterologists. At the time of this case report, there are no consensus guidelines on the management of bleeding duodenal varices in pediatric patients. This is a case of a 14-year-old young woman with a history of multi-visceral transplantation due to short gut syndrome. The patient had developed duodenal varices near her transplant anastomosis, which were incidentally biopsied on endoscopy causing resultant bleeding that required endoscopic hemostasis. This case highlights the need for recognition of duodenal varices as a potential etiology of gastrointestinal bleeding in children and describes band ligation as an effective hemostatic modality.

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