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整体器官胰腺移植的影像学表现及并发症的多模态评价

Imaging in whole organ pancreatic transplants and a multimodality review of its complications.

机构信息

Radiology Department, Imperial College Healthcare NHS Trust, London, UK.

Radiology Department, Evelina Centre, Guys and St Thomas' NHS Foundation Trust, London, UK.

出版信息

Br J Radiol. 2021 Jun 1;94(1122):20200106. doi: 10.1259/bjr.20200106. Epub 2021 Apr 14.

DOI:10.1259/bjr.20200106
PMID:33852347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8173685/
Abstract

This pictorial review will describe the normal anatomy of whole organ pancreatic transplants and the common surgical variants with which the radiologist should be familiar. Complications may be divided into (1) vascular: arterial occlusion and stenosis, venous thrombosis, pseudoaneurysms and arteriovenous fistulae, (2) parenchymal complications such as pancreatitis and the variety of peripancreatic collections, and (3) enteric complications including leak and fistula formation. The radiologist plays a crucial role in the initial assessment of graft anatomy and perfusion, prompt diagnosis, and increasingly, in the management of complications.

摘要

本影像学综述将描述整个器官胰腺移植的正常解剖结构和放射科医生应该熟悉的常见手术变异。并发症可分为 (1) 血管：动脉闭塞和狭窄、静脉血栓形成、假性动脉瘤和动静脉瘘，(2) 实质并发症，如胰腺炎和各种胰周积液，以及 (3) 肠内并发症，包括漏和瘘的形成。放射科医生在移植解剖结构和灌注的初始评估、及时诊断以及越来越多的并发症管理中发挥着关键作用。

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