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中华消化病与影像杂志(电子版) ›› 2022, Vol. 12 ›› Issue (05) : 257 -259. doi: 10.3877/cma.j.issn.2095-2015.2022.05.001

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强化消化内镜医师对Cameron病变的认识
张修礼1,(), 郭敬翰1   
  1. 1. 100039 北京,解放军总医院第一医学中心消化学部
  • 收稿日期:2022-02-27 出版日期:2022-10-01
  • 通信作者: 张修礼

Enhance the understanding of Cameron lesions by digestive endoscopist

Xiuli Zhang1,(), Jinghan Guo1   

  1. 1. Department of Gastroenterology, First Medical Center of PLA General Hospital, Bejing 100039, China
  • Received:2022-02-27 Published:2022-10-01
  • Corresponding author: Xiuli Zhang
引用本文:

张修礼, 郭敬翰. 强化消化内镜医师对Cameron病变的认识[J]. 中华消化病与影像杂志(电子版), 2022, 12(05): 257-259.

Xiuli Zhang, Jinghan Guo. Enhance the understanding of Cameron lesions by digestive endoscopist[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2022, 12(05): 257-259.

Cameron病变常见于食管裂孔疝中,经常表现为上消化道出血。因其位置的隐匿性,Cameron病变容易被忽略从而导致患者出血迁延不愈,所以必须高度重视。本文阐述了Cameron病变的定义、危险因素、病理生理学、表现、诊断和治疗预后,以期为临床提供借鉴避免漏诊和误诊。

Cameron lesions are not uncommon in hiatal hernias, generally presenting with upper gastrointestinal bleeding. Cameron lesions are easy to be overlooked due to the occult site, resulting in protracted bleeding in patients, which must be paid close attention to. This editorial outlines the subjects of Cameron lesion in definition, risk factors, pathophysiology, manifestations, diagnosis, treatment, and prognosis, to avoid missed diagnosis or misdiagnosis.

图1 Cameron病变的内镜表现[13]注:1A:典型Cameron病变可见表面有纤维蛋白覆盖;1B:不典型Cameron病变表现为黏膜粗糙充血
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