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Vascular complications of chronic pancreatitis and its management

World Journal of Gastrointestinal Surgery 2023年第8期15卷 1574-1590页

作者： dinesh walia Anoop Saraya Deepak Gunjan Gastroenterology and Human Nutrition Unit All India Institute of Medical SciencesNew Delhi 110029India

Chronic pancreatitis is a chronic fibro-inflammatory disorder of the pancreas,resulting in recurrent abdominal pain,diabetes mellitus,and *** may lead to various other complications such as pseudocyst formation,benign biliary stricture,gastric outlet obstruction;and vascular complications like venous thrombosis,variceal and pseudoaneurysmal *** of varices is usually due to chronic venous thrombosis with collateral formation and variceal bleeding can easily be tackled by endoscopic *** bleed can be catastrophic and requires radiological interventions including digital subtraction angiography followed by endovascular obliteration,or sometimes with a percutaneous or an endoscopic ultrasound-guided approach in technically difficult ***-related bleed is usually venous and mostly managed ***-related arterial bleed,however,may require radiological interventions.

关键词： Chronic pancreatitis Pseudoaneurysm Vascular complications Varices Venous thrombosis

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COVID-19 in patients with pre-existing chronic liver disease–predictors of outcomes

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World Journal of Virology 2023年第1期12卷 30-43页

作者： dinesh walia Anoop Saraya Deepak Gunjan Gastroenterology and Human Nutrition Unit All India Institute of Medical SciencesNew Delhi 110029New DelhiIndia

Coronavirus disease 2019(COVID-19)has affected patients with pre-existing chronic liver disease(CLD)in various *** maximum impact was seen on patients with underlying cirrhosis who have shown to have poor clinical outcomes in the form of increased risk of hepatic decompensation,acute-onchronic liver failure,and even *** is of paramount importance to identify various factors which are associated with unfavorable outcomes for prognostication and making informed management *** factors have been evaluated in different studies in patients with underlying *** of these factors include the severity of underlying chronic liver disease,comorbid conditions,age,and severity of ***,the outcomes are not favorable in patients with cirrhosis as evidenced by data from various *** main purpose of this review is to identify the predictors of adverse clinical outcomes including mortality in patients with CLD for risk stratification,prognostication,and appropriate clinical management.

关键词： Severe acute respiratory syndrome coronavirus 2 Cirrhosis Predictors Outcomes

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