Etiologies of Splenic Venous Hypertension:A Review  

作　　者：Jasmine Tidwell Bianca Thakkar George Y.Wu 

机构地区：[1]Department of Medicine,University of Connecticut Health Center,Farmington,CT,USA [2]Division of Gastroenterology-Hepatology,University of Connecticut Health Center,Farmington,CT,USA

出　　处：《Journal of Clinical and Translational Hepatology》2024年第6期594-606,共13页临床与转化肝病杂志（英文版）

摘　　要：Splenic venous hypertension or left-sided portal hypertension is a rare condition caused by an obstruction of the splenic vein.Usually,it presents with upper gastrointestinal bleeding in the absence of liver disease.Etiologies can be classified based on the mechanism of development of splenic vein hypertension:compression,stenosis,inflammation,thrombosis,and surgically decreased splenic venous flow.Diagnosis is established by various imaging modalities and should be suspected in patients with gastric varices in the absence of esophageal varices,splenomegaly,or cirrhosis.The management and prognosis vary depending on the underlying etiology but generally involve reducing splenic venous pressure.The aim of this review was to summarize the etiologies of splenic venous hypertension according to the mechanism of development.

关 键 词：Splenic venous hypertension Left-sided portal hypertension Sinistral portal hypertension Splenic vein thrombosis Gastric varices HEMATEMESIS Upper gastrointestinal bleeding 

分 类 号：R543[医药卫生—心血管疾病]