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Myeloproliferative neoplasms (MPNs), including polycythemia vera, essential thrombocythemia, and primary myelofibrosis, may lead to gastroesophageal varices. The quality of life, morbidity, and mortality of MPN patients mainly depend on disease-related symptoms, thromboembolic and hemorrhagic complications. Previous studies have shown that JAK2 V617F has a prominent role in vascular risk and MPN-associated gastroesophageal varices. Portal vein thrombosis and portal cavernoma frequently occur in the MPN population and the management of gastroesophageal varices in these patients are sometimes technically difficult. The aim of this study is to investigate the the characteristics of patients with gastroesophageal varices and portal caver cavernoma with or without JAK2 mutation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| JAK2 mutation Group | Patients with portal caver cavernoma and gastroesophageal varices and JAK2 Mutation. |
| |
| Portal caver cavernoma Group | Patients with portal caver cavernoma and gastroesophageal varices without JAK2 Mutation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JAK2 mutation test | Diagnostic Test | Patients with portal caver cavernoma will be divided into two groups by the result of JAK2 mutation test |
|
| Measure | Description | Time Frame |
|---|---|---|
| History of variceal bleeding | Have a history of the occurrence of gastroesophageal variceal bleeding | 1 day (the same time as diagnosis) |
| Measure | Description | Time Frame |
|---|---|---|
| 1-year death rate | 1-year death rate | 1 year |
| Complications of portal hypertension | The concurrence of complications of portal hypertension (ascites, infections, variceal bleeding, et al) |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who diagnosed with portal cavernoma and gastric and/or esophageal varices and underwent JAK2 mutation test.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| 180 Fenglin Road | Shanghai | Shanghai Municipality | 200032 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28543980 | Result | Reilly CR, Babushok DV, Martin K, Spivak JL, Streiff M, Bahirwani R, Mondschein J, Stein B, Moliterno A, Hexner EO. Multicenter analysis of the use of transjugular intrahepatic portosystemic shunt for management of MPN-associated portal hypertension. Am J Hematol. 2017 Sep;92(9):909-914. doi: 10.1002/ajh.24798. Epub 2017 Jul 26. | |
| 25027569 |
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| ID | Term |
|---|---|
| D009196 | Myeloproliferative Disorders |
| D006975 | Hypertension, Portal |
| ID | Term |
|---|---|
| D001855 | Bone Marrow Diseases |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D008107 | Liver Diseases |
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| 1 year |
| Yan M, Geyer H, Mesa R, Atallah E, Callum J, Bartoszko J, Yee K, Maganti M, Wong F, Gupta V. Clinical features of patients with Philadelphia-negative myeloproliferative neoplasms complicated by portal hypertension. Clin Lymphoma Myeloma Leuk. 2015 Jan;15(1):e1-5. doi: 10.1016/j.clml.2014.04.004. Epub 2014 Jun 11. |
| D004066 |
| Digestive System Diseases |