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首页> 外文期刊>Gastroenterology research and practice >Capsule Endoscopy for Portal Hypertensive Enteropathy
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Capsule Endoscopy for Portal Hypertensive Enteropathy

机译：胶囊内窥镜检查门镜高血压肠病

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摘要

Portal hypertensive enteropathy (PHE) is a mucosal abnormality of the small bowel that is observed in patients with portal hypertension (PH) and can lead to gastrointestinal bleeding and anemia. The pathogenesis is still not completely understood. The introduction of new endoscopic methods, including capsule endoscopy (CE) or balloon-assisted enteroscopy, has increased the detection of these abnormalities. CE can also serve as a road map for deciding subsequent interventions and evaluating the treatment effect. The prevalence of PHE is reportedly 40-70% in patients with PH. Endoscopic findings can be roughly divided into vascular and nonvascular lesions such as inflammatory-like lesions. Traditionally, PHE-associated factors include large esophageal varices, portal hypertensive gastropathy or colopathy, Child-Turcotte-Pugh class B or C, a history of variceal treatment, and acute gastrointestinal bleeding. More recently, on using scoring systems, a high computed tomography or transient elastography score was reportedly PHE-related factors. However, the prevalence of PHE and its related associated factors remain controversial. The management of PHE has not yet been standardized. It should be individualized according to each patient's situation, the availability of therapy, and each institutional expertise.
机译：门静脉高血压肠病（PHE）是患有门静脉高血压（pH）患者观察到的小肠的粘膜异常，可以导致胃肠道出血和贫血。病因仍然没有完全理解。引入新的内窥镜方法，包括胶囊内窥镜检查（CE）或球囊辅助肠镜检查，增加了这些异常的检测。 CE也可以作为决定后续干预和评估治疗效果的路线图。据报道，PHE的患病率为40-70％，患者患者患者。内窥镜发现可以大致分为血管和非血管损伤，例如炎症状病变。传统上，PHE相关因素包括大食管静脉曲张，门静脉高血压胃病或血小盲，儿童扁桃-B或C，静脉治疗史和急性胃肠道出血。最近，在使用评分系统时，据报道，据报道，高计算的断层扫描或瞬态弹性摄影评分与PHE相关的因素。然而，PHE的患病率及其相关的相关因素仍存在争议。 PHE的管理尚未标准化。应根据每个患者的情况，治疗的可用性和每个机构专业知识进行个性化。

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