胃十二指肠动脉异常动脉解剖和逆行血流导致的全胃坏死：胰十二指肠切除术后的并发症。
Total gastric necrosis due to aberrant arterial anatomy and retrograde blood flow in the gastroduodenal artery: a complication following pancreaticoduodenectomy.
机构信息
Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Royal Surrey County Hospital, Guildford, UK.
出版信息
HPB (Oxford). 2007;9(6):466-9. doi: 10.1080/13651820701713741.
Abstract
Patients with coeliac artery occlusion often remain asymptomatic due to the rich collateral blood supply (pancreaticoduodenal arcades) from the superior mesenteric artery. However, division of the gastroduodenal artery (GDA) during pancreaticoduodenectomy may result in compromised blood supply to the liver, stomach and spleen. Postoperative complications associated with this condition are rarely reported in the literature. We report two cases of coeliac artery occlusion encountered during pancreaticoduodenectomy, one of which was complicated by hepatic ischaemia and total gastric infarction postoperatively. Based on our experience and review of the literature, a management algorithm for coeliac artery stenosis encountered during pancreaticoduodenectomy is proposed.
摘要
由于肠系膜上动脉丰富的侧支循环（胰十二指肠弓），腹腔动脉闭塞的患者通常无症状。然而，在胰十二指肠切除术时胃十二指肠动脉（GDA）的分离可能导致肝脏、胃和脾脏的血液供应受损。这种情况下的术后并发症在文献中很少报道。我们报告了 2 例在胰十二指肠切除术中发现的腹腔动脉闭塞，其中 1 例术后发生肝缺血和全胃梗死。根据我们的经验和文献复习，提出了胰十二指肠切除术中遇到腹腔动脉狭窄的处理算法。
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本文引用的文献
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Am J Surg. 2007 Mar;193(3):341-4; discussion 344. doi: 10.1016/j.amjsurg.2006.09.027.
2
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World J Surg. 2005 Jul;29(7):885-9. doi: 10.1007/s00268-005-7878-x.
3
A new test to avoid arterial complications during pancreaticoduodenectomy.一种避免胰十二指肠切除术中动脉并发症的新检测方法。
Hepatogastroenterology. 2004 Nov-Dec;51(60):1671-3.
4
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5
Celiac axis stenosis in pancreaticoduodenectomy.胰十二指肠切除术中的腹腔干狭窄
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6
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