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在胰腺移植失败后的阴动脉-肠

Lorela B Weise¹, Paul R Crisostomo¹, Carlos F Bechara¹

¹Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Loyola University of Chicago, Maywood, IL.

Journal of vascular surgery cases and innovative techniques

|February 20, 2024

概括

动脉-肠 (IEFs) 是罕见的,但在胰腺移植失败的患者中危及生命的并发症. 早期诊断和手术修复对于生存至关重要.

科学领域:

血管外科血管外科
移植手术移植手术
胃肠病学胃肠病学

背景情况:

动脉肠 (AEF) 是一种罕见但严重的并发症,通常与血管手术有关.
特别是动脉-肠 (IEFs) 很少在胰腺移植失败的患者中见到.

研究的目的:

要突出在胰腺移植失败的患者中罕见发生的IEFs.
在这个患者群体中提出IEF的成功管理策略.
强调保持对IEF的高度怀疑指数的重要性.

主要方法:

关于两名同时进行胰腺脏移植的患者的病例报告,他们发展了IEF.
手术管理包括抽切除和插入门动脉绕道.
从AEF一般指导方针对诊断挑战和治疗调整的审查.

主要成果:

在两种报告的病例中,胃肠道出血和败血症的成功解决.
通过切除和门动脉旁路术实现了最终的治疗.
在精选的患者中证明了手术修复的可行性.

结论:

在胰腺移植失败,出现不明原因的贫血或胃肠道出血的患者中,应考虑IEF.
及时诊断和手术干预,包括切除和动脉重建,对于有利的结果至关重要.
需要进一步的研究,以建立在移植受体中IEF的最佳管理协议.

关键词:

动脉 - 肠道裂在失败的胰腺移植中,胃肠道出血.阴动脉到小肠囊

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