Harvey John, Dardik Herbert, Impeduglia Theresa, Woo Daniel, DeBernardis Frank
Vascular Surgery Service, Englewood Hospital and Medical Center, Englewood, NJ 07631, USA.
J Vasc Surg. 2006 Mar;43(3):613-7. doi: 10.1016/j.jvs.2005.11.031.
Gastrointestinal bleeding is a morbid complication of pancreaticoduodenectomy. Determining its etiology is often a daunting challenge in that both common and unusual mechanisms may be operative. Visceral artery pseudoaneurysms, although rare, must be considered in that minimally invasive means are available for effective therapy. Our recent experience with two cases highlights the importance for both general and vascular surgeons to be aware of the diagnostic and therapeutic role for early angiography and deployment of endovascular techniques to achieve a successful outcome.
消化道出血是胰十二指肠切除术的一种严重并发症。确定其病因往往是一项艰巨的挑战，因为常见和不常见的机制都可能起作用。内脏动脉假性动脉瘤虽然罕见，但必须予以考虑，因为有微创手段可用于有效治疗。我们最近处理的两例病例突出了普通外科医生和血管外科医生了解早期血管造影的诊断和治疗作用以及采用血管内技术以取得成功结果的重要性。
