Bach D B, Hurlbut D J, Romano W M, Sutherland F R, Garcia B M, Wall W J, Ghent C N, Grant D R
Department of Diagnostic Radiology, University Hospital, University of Western Ontario, London, Canada.
Radiology. 1991 Jul;180(1):37-41. doi: 10.1148/radiology.180.1.2052719.
The authors describe the postoperative anatomy and review the radiologic examinations of five patients who underwent orthotopic small intestine or combined orthotopic liver and small intestine transplantation. Mucosal thickening of the transplanted intestine was demonstrated on the first postoperative contrast material-enhanced images and was due to submucosal edema. This resolved within 2 weeks in the long-term survivors. Bowel peristalsis appeared normal as early as 31 days after transplantation. Contrast-enhanced examinations of the intestine were useful to exclude surgical complications such as anastomotic leaks or strictures, but were insensitive for biopsy-proved cytomegalovirus enteritis or rejection.
作者描述了术后解剖结构，并回顾了5例接受原位小肠移植或原位肝小肠联合移植患者的影像学检查。术后首次对比剂增强图像显示移植肠黏膜增厚，这是由于黏膜下水肿所致。在长期存活者中，这种情况在2周内得到缓解。移植后最早在31天肠道蠕动看起来正常。肠道对比增强检查有助于排除手术并发症，如吻合口漏或狭窄，但对经活检证实的巨细胞病毒性肠炎或排斥反应不敏感。
