Vascular anomalies associated with hepatic shunting

作     者：Michael J Schmalz Kadakkal Radhakrishnan 

作者机构：Department of Pediatric GastroenterologyCleveland ClinicClevelandOH 44106United States Department of Pediatric GastroenterologyChildren's HospitalCleveland ClinicClevelandOH 44106United States 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2020年第26卷第42期

页      面：6582-6598页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Department of Pediatric Diagnostic Radiology Cleveland Clinic Foundation, CCF 

主　　题：Hepatic Shunt Pediatric Hemangioma Congenital Vascular 

摘      要：Congenital vascular anomalies affecting the liver have been described in the scientific literature for *** these malformations begins with knowledge of hepatic vascular *** have applied numerous classification systems to describe both intrahepatic and extrahepatic shunts,which can confuse the reader and *** our experience,focusing on one classification system for extrahepatic shunts and one for intrahepatic shunts is *** many patients with these shunts carry good long-term prognosis thanks to advances in imaging to better detect shunts earlier and classify *** intervention by skilled radiologists and surgeons have also limited complications arising from dynamic shunts and can avoid a liver *** hepatic shunts are not the only vascular condition affecting the *** hemorrhagic telangiectasia,also known as Osler Weber Rendu syndrome,particularly type 2,may have varying severity of hepatic involvement which warrants longitudinal care from an experienced ***,congenital hemangiomas,often first identified on the skin and oral mucosa,also can affect the *** most will resolve in infancy and childhood,the pediatric hepatologist must understand how and when to treat persistent lesions and their *** article serves as a concise reference to help clinicians better care for patients with these rare conditions.