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Zheng, Jie, Tang, Shanhong, Zhou, Juan. (1405). Treatment Strategy for Gastric Variceal Bleeding Caused by Sinistral Portal Hypertension Based on Hemodynamic Characteristics: A Case Report. سامانه مدیریت نشریات علمی, 51(9), 667-672. doi: 10.30476/ijms.2026.108344.4326
Jie Zheng; Shanhong Tang; Juan Zhou. "Treatment Strategy for Gastric Variceal Bleeding Caused by Sinistral Portal Hypertension Based on Hemodynamic Characteristics: A Case Report". سامانه مدیریت نشریات علمی, 51, 9, 1405, 667-672. doi: 10.30476/ijms.2026.108344.4326
Zheng, Jie, Tang, Shanhong, Zhou, Juan. (1405). 'Treatment Strategy for Gastric Variceal Bleeding Caused by Sinistral Portal Hypertension Based on Hemodynamic Characteristics: A Case Report', سامانه مدیریت نشریات علمی, 51(9), pp. 667-672. doi: 10.30476/ijms.2026.108344.4326
Zheng, Jie, Tang, Shanhong, Zhou, Juan. Treatment Strategy for Gastric Variceal Bleeding Caused by Sinistral Portal Hypertension Based on Hemodynamic Characteristics: A Case Report. سامانه مدیریت نشریات علمی, 1405; 51(9): 667-672. doi: 10.30476/ijms.2026.108344.4326

Treatment Strategy for Gastric Variceal Bleeding Caused by Sinistral Portal Hypertension Based on Hemodynamic Characteristics: A Case Report

Iranian Journal of Medical Sciences
مقاله 6، دوره 51، شماره 9، آذر 2026، صفحه 667-672    اصل مقاله (869.24 K)
نوع مقاله: Case Report(s)
شناسه دیجیتال (DOI): 10.30476/ijms.2026.108344.4326
نویسندگان
Jie Zheng؛ Shanhong Tang؛ Juan Zhou
Department of Gastroenterology, The General Hospital of Western Theater Command, Chengdu 610083, Sichuan, China
چکیده
Gastric varices secondary to sinistral portal hypertension (SPH) are a rare cause of upper gastrointestinal (GI) hemorrhage. Endoscopic histoacryl injection is widely used for endoscopic hemostasis in portal hypertension (PH) and is considered a rescue treatment for massive acute GI bleeding. However, it is associated with a high rate of recurrence. Herein, we report a case of repeated pancreatitis-induced SPH that led to refractory gastric variceal (GV) bleeding, ultimately treated by splenectomy. From a hemodynamic perspective, this case explored treatment strategies for GV bleeding caused by SPH and provided insights for the clinical diagnosis and treatment of affected patients. 

تازه های تحقیق

Jie Zheng (Google Scholar)

Shanhong Tang (Google Scholar)

کلیدواژه‌ها
Sinistral portal hypertension؛ Gastric varices؛ Gastrointestinal hemorrhage؛ Hemodynamics؛ Treatments
مراجع
  1. Zheng K, Guo X, Feng J, Bai Z, Shao X, Yi F, et al. Gastrointestinal Bleeding due to Pancreatic Disease-Related Portal Hypertension. Gastroenterol Res Pract. 2020;2020:3825186. doi: 10.1155/2020/3825186. PubMed PMID: 32308674; PubMed Central PMCID: PMC7140141.
  2. Zheng J, Luo G, Deng MM. Clinical Analysis of Sinistral Portal Hypertension. Iran J Med Sci. 2024;49:487-93. doi: 10.30476/ijms.2023.99570.3164. PubMed PMID: 39205819; PubMed Central PMCID: PMC11347591.
  3. Liu Q, Song Y, Xu X, Jin Z, Duan W, Zhou N. Management of bleeding gastric varices in patients with sinistral portal hypertension. Dig Dis Sci. 2014;59:1625-9. doi: 10.1007/s10620-014-3048-z. PubMed PMID: 24500452.
  4. Pandey V, Patil M, Patel R, Chaubal A, Ingle M, Shukla A. Prevalence of splenic vein thrombosis and risk of gastrointestinal bleeding in chronic pancreatitis patients attending a tertiary hospital in western India. J Family Med Prim Care. 2019;8:818-22. doi: 10.4103/jfmpc.jfmpc_414_18. PubMed PMID: 31041207; PubMed Central PMCID: PMC6482754.
  5. Ru N, He CH, Ren XL, Chen JY, Yu FF, Yan ZJ, et al. Risk factors for sinistral portal hypertension and related variceal bleeding in patients with chronic pancreatitis. J Dig Dis. 2020;21:468-74. doi: 10.1111/1751-2980.12916. PubMed PMID: 32584511.
  6. Li H, Yang Z, Tian F. Clinical Characteristics and Risk Factors for Sinistral Portal Hypertension Associated with Moderate and Severe Acute Pancreatitis: A Seven-Year Single-Center Retrospective Study. Med Sci Monit. 2019;25:5969-76. doi: 10.12659/MSM.916192. PubMed PMID: 31400275; PubMed Central PMCID: PMC6699198.
  7. de Franchis R, Baveno VF. Revising consensus in portal hypertension: report of the Baveno V consensus workshop on methodology of diagnosis and therapy in portal hypertension. J Hepatol. 2010;53:762-8. doi: 10.1016/j.jhep.2010.06.004. PubMed PMID: 20638742.
  8. Liu M, Wei N, Song Y. Splenectomy versus non-splenectomy for gastrointestinal bleeding from left-sided portal hypertension: a systematic review and meta-analysis. Ther Adv Gastroenterol. 2024;17:17562848241234501. doi: 10.1177/17562848241234501. PubMed PMID: 38450104; PubMed Central PMCID: PMC10916482.
  9. Yang J, Zeng Y, Zhang JW. Modified endoscopic ultrasound-guided selective N-butyl-2-cyanoacrylate injections for gastric variceal hemorrhage in left-sided portal hypertension: A case report. World J Clin Cases. 2022;10:6254-60. doi: 10.12998/wjcc.v10.i18.6254. PubMed PMID: 35949826; PubMed Central PMCID: PMC9254179.
  10. Patrono D, Benvenga R, Moro F, Rossato D, Romagnoli R, Salizzoni M. Left-sided portal hypertension: Successful management by laparoscopic splenectomy following splenic artery embolization. Int J Surg Case Rep. 2014;5:652-5. doi: 10.1016/j.ijscr.2014.03.010. PubMed PMID: 25194596; PubMed Central PMCID: PMC4189059.
  11. Tang SH, Zeng WZ, He QW, Qin JP, Wu XL, Wang T, et al. Repeated pancreatitis-induced splenic vein thrombosis leads to intractable gastric variceal bleeding: A case report and review. World J Clin Cases. 2015;3:920-5. doi: 10.12998/wjcc.v3.i10.920. PubMed PMID: 26488031; PubMed Central PMCID: PMC4607813.
  12. Spaander MC, Darwish Murad S, van Buuren HR, Hansen BE, Kuipers EJ, Janssen HL. Endoscopic treatment of esophagogastric variceal bleeding in patients with noncirrhotic extrahepatic portal vein thrombosis: a long-term follow-up study. Gastrointest Endosc. 2008;67:821-7. doi: 10.1016/j.gie.2007.08.023. PubMed PMID: 18206153.
  13. Liu J, Meng J, Yang M, Zhou C, Yang C, Huang S, et al. Two-step complete splenic artery embolization for the management of symptomatic sinistral portal hypertension. Scand J Gastroenterol. 2022;57:78-84. doi: 10.1080/00365521.2021.1983641. PubMed PMID: 34581650.
  14. Gautam AD, Sanket, Agarwal A, Yadav RR. Emergent Management of Gastric Variceal Bleed in the Setting of Acute Pancreatitis-Related Sinistral Hypertension With Partial Splenic Embolization: A Series of Two Cases. Cureus. 2022;14:e29002. doi: 10.7759/cureus.29002. PubMed PMID: 36112972; PubMed Central PMCID: PMC9463960.
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