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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/OL]. 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/OL]. 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
1
程书平,李明,田甜,等.食管裂孔疝继发贫血40例临床特点分析[J].疑难病杂志202019(5):472-475.
2
Watson TJMoritz T. Sliding Hernia. StatPearls[M]. Treasure Island(FL):StatPearls Publishing,2022.
3
阿卜杜萨拉木·阿卜杜合力力,克力木·阿不都热依木.巨大食管裂孔疝与缺铁性贫血发生相关性研究新进展[J/OL].中华胃食管反流病电子杂志20196(4):222-225.
4
Cameron AJ, Higgins JA. Linear gastric erosion. A lesion associated with large diaphragmatic hernia and chronic blood loss anemia[J]. Gastroenterology198691:338-342.
5
Maganty K, Smith RL. Cameron lesions:unusual cause of gastrointestinal bleeding and anemia[J]. Digestion200877(3/4):214-217.
6
Gray DM, Kushnir V, Kalra G, Rosenstock A, Alsakka MA, Patel A, Sayuk G, Gyawali CP. Cameron lesions in patients with hiatal hernias:prevalence,presentation,and treatment outcome[J]. Dis Esophagus201528(5):448-452.
7
Seid AS, Mamo EA. Overt GI bleeding from a Cameron lesion in an Ethiopian with NSAID use:Case report of an unusual condition[J]. Ann Med Surg(Lond)202275:103469.
8
Kapadia S, Jagroop S, Kumar A. Cameron ulcers:an atypical source for a massive upper gastrointestinal bleed[J]. World J Gastroenterol201218(35):4959-4961.
9
Zullo A, Manta R, De Francesco V, et al. Cameron lesions:A still overlooked diagnosis. Case report and systematic review of literature[J]. Clin Res Hepatol Gastroenterol201943(1):112-113.
10
Katz J, Brar S, Sidhu JS. Histopathological characterization of a Cameron lesion[J]. Int J Surg Pathol201220(5):528-530.
11
Mehershahi S, Jog A, Ronderos DM, et al. Cameron Ulcers:Rare Case of Overt Upper Gastrointestinal Bleed in a Patient with Alcohol Use Disorder[J]. Cureus202012(4):e7644.
12
Pereira F, Pinto J, Tristan J. Upper Gastrointestinal Bleeding due to Cameron Lesions[J]. Clin Gastroenterol Hepatol202018(11):A27.
13
Dietrich CG, Hübner D, Heise JW. Paraesophageal hernia and iron deficiency anemia:Mechanisms,diagnostics and therapy[J]. World J Gastrointest Surg202113(3):222-230.
14
Chun CL, Conti CA, Triadafilopoulos G. Cameron ulcers:you will find only what you seek[J]. Dig Dis Sci201156(12):3450-3452.
15
Tjwa ET, Holster IL, Kuipers EJ. Endoscopic management of nonvariceal,nonulcer upper gastrointestinal bleeding[J]. Gastroenterol Clin North Am201443(4):707-719.
16
Cheverie JN, Lam J, Neki K, et al. Paraesophageal hernia repair:a curative consideration for chronic anemia?[J]. Surg Endosc202034(5):2243-2247.
17
Addo A, Broda A, Reza Zahiri H, et al. Resolution of anemia and improved quality of life following laparoscopic hiatal hernia repair[J]. Surg Endosc202034(7):3072-3078.
18
Yakut M, Kabaçam G, Öztürk A, et al. Clinical characteristics and evaluation of patients with large hiatal hernia and Cameron lesions[J]. South Med J2011104(3):179-184.
19
Verhoeff K, Dang JT, Deprato A, et al. Surgical management of hiatal hernia vs medical therapy to treat bleeding Cameron lesions:a systematic review and meta-analysis[J]. Surg Endosc202135(12):7154-7162.
20
Moskovitz M, Fadden R, Min T, et al. Large hiatal hernias,anemia,and linear gastric erosion:studies of etiology and medical therapy[J]. Am J Gastroenterol199287:622-626.
21
White BC, Jeansonne LO, Morgenthal CB, et al. Do recurrences after paraesophageal hernia repair matter?Ten-year follow-up after laparoscopic repair[J]. Surg Endosc200822(4):1107-1111.
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