Valenzuela David M, Behr Spencer C, Coakley Fergus V, Wang Z Jane, Webb Emily M, Yeh Benjamin M
Department of Radiology and Biomedical Imaging, University of California, San Francisco, 505 Parnassus Avenue, San Francisco, CA 94143-0628, USA.
Department of Radiology, Oregon Health & Science University, 3181 Southwest Sam Jackson Park Road, Portland, OR 97239-3098, USA.
Radiol Clin North Am. 2014 Sep;52(5):1055-70. doi: 10.1016/j.rcl.2014.05.011. Epub 2014 Jul 3.
Intraluminal procedures for the gastrointestinal tract range from simple intubation for feeding or bowel decompression to endoscopic procedures including stenting and pancreatobiliary ductal catheterization. Each of these procedures and interventions carries a risk of iatrogenic injury, including bleeding, perforation, infection, adhesions, and obstruction. An understanding of how anatomy and function may predispose to injury, and the distinct patterns of injury, can help the radiologist identify and characterize iatrogenic injury rapidly at computed tomography (CT) imaging. Furthermore, selective use of intravenous or oral CT contrast material can help reveal injury and triage clinical management.
胃肠道腔内手术范围从简单的喂养或肠道减压插管到包括支架置入和胰胆管导管插入术在内的内镜手术。这些手术和干预措施中的每一种都有医源性损伤的风险,包括出血、穿孔、感染、粘连和梗阻。了解解剖结构和功能如何易导致损伤以及损伤的不同模式,有助于放射科医生在计算机断层扫描(CT)成像时快速识别和描述医源性损伤。此外,选择性使用静脉内或口服CT对比剂有助于发现损伤并对临床管理进行分类。