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胰十二指肠切除术后经纵向胰胃吻合术治疗的症状性胰空肠吻合口狭窄：两例报告

Symptomatic Pancreaticojejunal Anastomotic Stricture After Pancreaticoduodenectomy Managed by Longitudinal Pancreaticogastrostomy: A Report of Two Cases.

作者信息

Pansari Mridul, Jacobs Michael, Patil Sachin, Nagarkatti Sushruta

机构信息

Hepato-Pancreato-Biliary (HPB) Surgery, Ascension Providence Hospital, Southfield, USA.

出版信息

Cureus. 2022 Apr 6;14(4):e23884. doi: 10.7759/cureus.23884. eCollection 2022 Apr.

DOI:10.7759/cureus.23884
PMID:35530864
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9076040/
Abstract

Symptomatic pancreaticojejunal anastomotic stricture is a rare complication following pancreaticoduodenectomy. Literature for the management of pancreaticojejunal anastomotic strictures is limited. Revision of pancreaticojejunostomy anastomosis, endoscopic dilation, stenting of pancreaticojejunal stricture, and modified Puestow procedure have all been described with variable outcomes. We present a report of two patients who developed symptomatic pancreaticojejunal anastomotic stricture following a pancreaticoduodenectomy, managed by longitudinal pancreaticogastrostomy with no complications, and resolution of symptoms with an average follow-up interval of 45 months.

摘要

症状性胰空肠吻合口狭窄是胰十二指肠切除术后一种罕见的并发症。关于胰空肠吻合口狭窄治疗的文献有限。胰空肠吻合口的修复、内镜扩张、胰空肠狭窄支架置入以及改良的普斯特沃手术均有报道，但其结果各不相同。我们报告了两名患者，他们在胰十二指肠切除术后出现了症状性胰空肠吻合口狭窄，通过纵行胰胃吻合术进行治疗，无并发症发生，且症状得到缓解，平均随访时间为45个月。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a804/9076040/9df99f03c815/cureus-0014-00000023884-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a804/9076040/b1ce0951b809/cureus-0014-00000023884-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a804/9076040/7123855b68be/cureus-0014-00000023884-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a804/9076040/b0ae3a90274b/cureus-0014-00000023884-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a804/9076040/9df99f03c815/cureus-0014-00000023884-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a804/9076040/b1ce0951b809/cureus-0014-00000023884-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a804/9076040/7123855b68be/cureus-0014-00000023884-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a804/9076040/b0ae3a90274b/cureus-0014-00000023884-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a804/9076040/9df99f03c815/cureus-0014-00000023884-i04.jpg

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本文引用的文献

1
Pancreaticojejunostomy Stricture After Pancreatoduodenectomy: Outcomes After Operative Revision.胰十二指肠切除术后胰空肠吻合口狭窄：手术修正后的结果
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The inconsistent nature of symptomatic pancreatico-jejunostomy anastomotic strictures.症状性胰肠吻合口狭窄的不一致性。
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Percutaneous pancreatic-duct puncture with rendezvous technique can treat stenotic pancreaticojejunostomy.
经皮胰腺-胆管穿刺 rendezvous 技术可治疗狭窄的胰肠吻合口。
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Successful single-balloon enteroscopic dilation of late anastomotic pancreaticojejunostomy stricture following whipple procedure.胰十二指肠切除术后晚期吻合口胰肠吻合口狭窄的单气囊小肠镜扩张术成功实施。
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Long-term anastomotic complications after pancreaticoduodenectomy for benign diseases.良性疾病胰十二指肠切除术后的长期吻合口并发症
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Arch Surg. 2001 Apr;136(4):391-8. doi: 10.1001/archsurg.136.4.391.
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Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes.20世纪90年代连续进行的650例胰十二指肠切除术：病理、并发症及结果
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