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一种使用液体栓塞剂治疗胰皮肤瘘的新方法:病例报告。

A novel approach using liquid embolic agent for the treatment of pancreatic-cutaneous fistulas: Report of a case.

作者信息

Farag Amye, Parikh Priti P, Malik Tamer, Kauffman Shannon

机构信息

Wright State University, Boonshoft School of Medicine, Dayton, OH, USA.

Wright State University, Department of Surgery, Dayton, OH, USA.

出版信息

Int J Surg Case Rep. 2015;6C:157-9. doi: 10.1016/j.ijscr.2014.10.082. Epub 2014 Dec 12.

DOI:10.1016/j.ijscr.2014.10.082
PMID:25544480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4334636/
Abstract

Pancreatic fistula formation remains one of the most dreadful complications after pancreaticoduodenectomies, resulting in extended hospital stays, increased healthcare costs, along with significantly increased morbidity and mortality. Little is mentioned in the literature about the use of percutaneous techniques to resolve this complication when conservative treatments fail. Thus, we developed a novel technique for treating pancreatic-cutaneous fistulas that develop post-pancreaticoduodenectomy. This work describes a novel approach of using a liquid embolic agent to treat a high-output pancreatic-cutaneous fistula after a Whipple procedure, which to the best of our knowledge after extensive literature searches, has not been performed before.

摘要

胰瘘形成仍然是胰十二指肠切除术后最可怕的并发症之一,会导致住院时间延长、医疗费用增加,以及发病率和死亡率显著上升。当保守治疗失败时,文献中很少提及使用经皮技术来解决这一并发症。因此,我们开发了一种治疗胰十二指肠切除术后发生的胰皮肤瘘的新技术。这项工作描述了一种使用液体栓塞剂治疗Whipple手术后高流量胰皮肤瘘的新方法,据我们在广泛文献检索后所知,此前尚未有过此类操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff21/4334636/2bee12369649/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff21/4334636/722ba85ac984/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff21/4334636/2bee12369649/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff21/4334636/722ba85ac984/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff21/4334636/2bee12369649/gr2.jpg

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本文引用的文献

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Percutaneous transfistulous interventions for intractable pancreatic fistula.经皮经瘘管介入治疗顽固性胰瘘
Radiol Res Pract. 2011;2011:109259. doi: 10.1155/2011/109259. Epub 2011 Mar 30.
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Endoscopic sealing of pancreatic fistulas: four case reports and review of the literature.
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Report of three cases of chronic pancreatic fistulas treated with prolamine as a sclerosing substance following pancreatic resection.胰腺切除术后用醇溶蛋白作为硬化剂治疗三例慢性胰瘘的报告。
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Endoscopic sealing of pancreatic fistula by using N-butyl-2-cyanoacrylate.使用氰基丙烯酸正丁酯进行内镜下胰瘘封堵术。
Gastrointest Endosc. 2004 Apr;59(4):463-70. doi: 10.1016/s0016-5107(03)02708-1.
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Percutaneous embolization of the pancreatic duct with cyanoacrylate tissue adhesive in disconnected duct syndrome.
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Pancreatic anastomotic leak after pancreaticoduodenectomy: incidence, significance, and management.胰十二指肠切除术后胰肠吻合口漏:发生率、意义及处理
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