Department of Radiology, Northwestern University, Chicago, IL, USA.
Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Abdom Radiol (NY). 2021 Jul;46(7):3019-3032. doi: 10.1007/s00261-021-02978-0. Epub 2021 Feb 26.
Postoperative leaks after gastrointestinal surgery are important to identify to decrease patient morbidity and mortality. Fluoroscopic studies are commonly employed to detect postoperative leak. While the literature addresses the sensitivity and specificity of these examinations, there is generally a lack of description of the fluoroscopic technique itself and there may be variability between radiologists in how these studies are performed. It is important to balance a standardized fluoroscopy protocol while tailoring the exam for each surgical and patient situation. Here we will briefly review common postoperative anatomy in the upper gastrointestinal tract, propose fluoroscopic techniques to improve postoperative leak detection, and illustrate teaching points with clinical cases.
胃肠道手术后的漏诊是减少患者发病率和死亡率的关键。荧光透视检查常用于检测术后漏诊。虽然文献报道了这些检查的敏感性和特异性，但通常缺乏对荧光透视技术本身的描述，而且放射科医生在进行这些研究时可能存在差异。在为每个手术和患者情况定制检查的同时，平衡标准化荧光透视方案非常重要。在这里，我们将简要回顾上消化道术后的常见解剖结构，提出改善术后漏诊检测的荧光透视技术，并通过临床病例说明教学要点。
