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肝硬化患者中伴内痔、结直肠静脉曲张和血管增多已有报告,但结肠中有类似门脉性胃病所见的血管扩张和毛细血管扩张,迄今尚未有报告。作者自1987年12月至1989年11月,对20例门脉高压患者作了结肠镜检查。适应症为肉眼直肠出血10例,大便隐血阳性伴缺铁性贫血9例,乙状结肠息肉2例(其中1例伴大便隐血阳性)。12例因食管静脉曲张出血曾作硬化剂治疗,其中11例曲张静脉已消失。20例在近期均作过内镜检查,发现其中10例有充血性的胃病变。
In patients with cirrhosis with internal hemorrhoids, colorectal varices and blood vessels have been reported, but there are similar to the portal vein of blood vessels seen in vasodilation and telangiectasias, has so far not been reported. From December 1987 to November 1989, the authors underwent colonoscopy in 20 patients with portal hypertension. Indications for rectal bleeding in 10 cases, fecal occult blood associated with iron deficiency anemia in 9 cases, 2 cases of sigmoid colon polyps (1 case with fecal occult blood positive). Twelve cases had been treated with sclerotherapy due to esophageal variceal bleeding, of which 11 had varicose veins that had disappeared. 20 cases were done in the recent endoscopy and found that 10 cases of congestive stomach lesions.