Borhani Amir A, Dasyam Anil K, Papachristou Georgios, Furlan Alessandro, Almusa Omar, Abu-Elmagd Kareem, Costa Guilherme, Slivka Adam, Bae Kyongtae T
Division of Abdominal Imaging, Department of Radiology, UPMC Presbyterian Hospital, University of Pittsburgh School of Medicine, 200 Lothrop Street, Pittsburgh, PA, 15213, USA,
Abdom Imaging. 2015 Aug;40(6):1961-70. doi: 10.1007/s00261-014-0338-z.
Small bowel transplantation is a surgical technique reserved for patients with end-stage intestinal failure. Despite its inherent technical difficulties, it has emerged as the standard of care for these patients. This article reviews the background and different surgical techniques for this procedure and then fully describes the spectrum of imaging findings of pancreatic and biliary complications, which have a prevalence of up to 17%, after this procedure based on 23-year single-center experience. The pancreaticobiliary complications encountered in our experience and discussed in this article include: ampullary stenosis, biliary cast, choledocholithiasis, bile leak, recurrent cholangitis, acute pancreatitis, chronic pancreatitis, and pancreatic duct fistula. Familiarity with the broad spectrum of PB complications and their variable manifestations will help radiologists to accurately diagnose these complications which have relatively high morbidity and mortality in these immune-compromised patients.
小肠移植是一种仅用于终末期肠衰竭患者的外科技术。尽管其本身存在技术难题，但它已成为这些患者的标准治疗方法。本文回顾了该手术的背景和不同的手术技术，然后基于23年的单中心经验，全面描述了胰腺和胆道并发症的影像学表现谱，这些并发症在该手术后的发生率高达17%。我们在经验中遇到并在本文中讨论的胰腺胆道并发症包括：壶腹狭窄、胆泥、胆总管结石、胆漏、复发性胆管炎、急性胰腺炎、慢性胰腺炎和胰管瘘。熟悉胰腺胆道并发症的广泛表现及其多样的表现形式，将有助于放射科医生准确诊断这些在免疫功能低下患者中发病率和死亡率相对较高的并发症。
