Socci C, Orsenigo E, Zuber V, Caldara R, Castoldi R, Parolini D, Secchi A, Staudacher C
Department of Surgery, University Vita e Salute San Raffaele Scientific Institute, Milan, Italy.
Transplant Proc. 2006 May;38(4):1158-9. doi: 10.1016/j.transproceed.2006.02.020.
We assessed the effect on duodenal stump vascular supply of reconstruction of the gastroduodenal artery performed before pancreas transplantation. The median pancreas graft and patient survival times were 144 and 72 months for cases with or without gastrointestinal bleeding. Transmural blood flow values were significantly different between the donor duodenal stump and the recipient anastomosed jejunum (P < .01). The rate of gastrointestinal bleeding was lower in patients who received a pancreatic graft with back-table reconstruction of the gastroduodenal artery (P = .005).
我们评估了胰腺移植前重建胃十二指肠动脉对十二指肠残端血管供应的影响。有或无胃肠道出血病例的胰腺移植物中位存活时间和患者中位存活时间分别为144个月和72个月。供体十二指肠残端与受体吻合空肠之间的透壁血流值有显著差异（P <.01）。接受胃十二指肠动脉后台重建的胰腺移植物患者的胃肠道出血发生率较低（P =.005）。
