胰腺手术后的出血并发症：介入放射学管理
Bleeding complications after pancreatic surgery: interventional radiology management.
作者信息
Biondetti Pierpaolo, Fumarola Enrico Maria, Ierardi Anna Maria, Carrafiello Gianpaolo
机构信息
Diagnostic and Interventional Radiology Department, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy.
出版信息
Gland Surg. 2019 Apr;8(2):150-163. doi: 10.21037/gs.2019.01.06.
Abstract
Surgical intervention in the pancreas region is complex and carries the risk of complications, also of vascular nature. Bleeding after pancreatic surgery is rare but characterized by high mortality. This review reports epidemiology, classification, diagnosis and treatment strategies of hemorrhage occurring after pancreatic surgery, focusing on the techniques, roles and outcomes of interventional radiology (IR) in this setting. We then describe the roles and techniques of IR in the treatment of other less common types of vascular complications after pancreatic surgery, such as portal vein (PV) stenosis, portal hypertension and bleeding of varices.
摘要
胰腺区域的手术干预复杂，且存在并发症风险，包括血管性并发症。胰腺手术后出血较为罕见，但死亡率很高。本综述报告了胰腺手术后出血的流行病学、分类、诊断和治疗策略，重点关注介入放射学（IR）在这种情况下的技术、作用和结果。然后，我们描述了IR在治疗胰腺手术后其他较不常见的血管并发症中的作用和技术，如门静脉（PV）狭窄、门静脉高压和静脉曲张出血。
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