动脉-消化道瘘：一种与胃癌手术后的术中放疗和体外束放疗相关的并发症。
Arteriodigestive fistula: a complication associated with intraoperative and external beam radiotherapy following surgery for gastric cancer.
作者信息
de Villa V H, Calvo F A, Bilbao J I, Azinovic I, Balen E, Hernandez J L, Pardo F, A-Cienfuegos J
机构信息
Department of General Surgery, Faculty of Medicine, University Clinic, University of Navarre, Pamplona, Spain.
出版信息
J Surg Oncol. 1992 Jan;49(1):52-7. doi: 10.1002/jso.2930490113.
Intestinal hemorrhage due to arteriodigestive fistula is described to be a rare and serious complication of radiotherapy. Three cases of this type of fistula in gastric cancer patients treated with gastrectomy, intraoperative electron boost (15 Gy), and fractionated external beam irradiation (46 Gy) are reported. Selective angiography is most helpful in the diagnosis and immediate surgery could be lifesaving. An attempt to explain the etiopathogenesis is made.
消化道瘘引起的肠道出血被认为是放疗罕见且严重的并发症。本文报道了3例接受胃切除术、术中电子束增敏放疗（15 Gy）和分次外照射放疗（46 Gy）的胃癌患者发生此类瘘的病例。选择性血管造影对诊断最有帮助，立即手术可能挽救生命。本文还尝试解释其发病机制。
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