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題名 | Endoscopic Variceal Ligation for Intractable Esophageal Variceal Bleeding in Children with Idiopathic Extrahepatic Portal Vein Occlusion: Report of Three Cases=以內視鏡靜脈瘤結紮治療原發性肝外門靜脈阻塞兒童的頑固性食道靜脈瘤出血--三例報告 |
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作者姓名(中文) | 周見成; 施相宏; 高常發; 刁茂盟; 黃福辰; | 書刊名 | 長庚醫學 |
卷期 | 24:11 2001.11[民90.11] |
頁次 | 頁734-740 |
分類號 | 417.624 |
關鍵詞 | 內視鏡靜脈瘤結紮術; 肝外門靜脈阻塞; 食道靜脈瘤; 兒童; Endoscopic variceal ligation; Extrahepatic portal vein occlusion; Esophageal varices; Children; |
語文 | 英文(English) |
中文摘要 | 肝外門靜脈阻塞是兒童肝外門靜脈高壓及靜脈瘤出血的一個重要原因。我們報告三位兒童有肝外門靜脈阻塞合併頑固性食道靜脈瘤出血,並接受定期內視鏡靜脈瘤結紮,及預防性propranolol治療以根除靜脈瘤。這三位病人在接受了三到四次的內視鏡靜脈瘤結紮後都能根除食道靜脈瘤。在根除後九到三十一個月的追?下,沒有併發症或腸胃道出血的情形。從這三例病人的經驗,靜脈瘤結紮術,合併長期propranolol預防治療可安全且有效地根除原發性肝外門靜脈阻塞的兒童的食道出血性靜脈瘤。 |
英文摘要 | Extrahepatic portal vein occlusion (EPVO) is an important cause of extrahepatic portal hypertension and variceal hemorrhage in children. We report 3 children with a diagnosis of EPVO and intractable esophageal variceal bleeding who underwent scheduled endoscopic variceal ligation (EVL) and prophylactic propranolol therapy for eradication of esophageal varices. Complete variceal obliteration was achieved in all 3 children following 3-4 treatment sessions. There were no significant complications or gastrointestinal hemorrhage during a follow-up period of 9 to 31 months after variceal eradication. In conclusion, EVL and long-term propranolol prophylaxis is safe and effective in eradicating bleeding esophageal varices in children with EPVO. |
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