Department of General Surgery, Buckinghamshire Healthcare NHS Trust, Amersham, United Kingdom.
The Hatter Cardiovascular Institute, University College London Hospitals NHS Foundation Trust, London, United Kingdom.
Thorac Cardiovasc Surg. 2021 Jan;69(1):2-7. doi: 10.1055/s-0039-1700886. Epub 2019 Nov 22.
Organ systems do not exist in a vacuum. However, in an era of increasingly specialized medicine, the focus is often on the organ system alone. Many symptoms are associated with differential diagnoses from upper gastrointestinal (GI) and cardiovascular medical and surgical specialties. Furthermore, a large number of rare but deadly conditions cross paths between the upper GI tract and cardiovascular system; a significant proportion of these are iatrogenic injuries from a parallel specialty. These include unusual fistulae, herniae, and embolisms that transcend specialties. This review highlights these conditions and the shared anatomy and embryology of the two organ systems.
器官系统并非孤立存在。然而，在医学日益专业化的时代，关注的焦点往往仅局限于单一器官系统。许多症状与上消化道（GI）和心血管的医学和外科学的鉴别诊断有关。此外，大量罕见但致命的病症在上消化道和心血管系统之间相互交叉；其中相当一部分是来自平行专业的医源性损伤。这些包括不常见的瘘管、疝和栓塞，跨越了多个专业领域。本综述强调了这些病症，以及两个器官系统的共同解剖结构和胚胎学。
