Department of Radiology, University of Pittsburgh School of Medicine, 200 Lothrop Street, Pittsburgh, PA 15216, USA.
Department of Radiology, Northwestern University Feinberg School of Medicine, 676 North Street Claire Street, Suite 800, Chicago, IL 60611, USA.
Radiol Clin North Am. 2023 Sep;61(5):871-887. doi: 10.1016/j.rcl.2023.04.008. Epub 2023 May 22.
Advancements in immunosuppression protocols, surgical techniques, and postoperative care in the last few decades have improved outcomes of intestinal transplant patients. Normal immediate postoperative imaging appearance can simulate pathology. Intestinal transplant recipients are prone for several postoperative complications due to the complex surgical technique, which involves multiple anastomoses, and immunogenic nature of the allograft intestine. Imaging plays a crucial role in detection of several major complications including infectious, immunologic, vascular, gastrointestinal, pancreaticobiliary, genitourinary, and neoplastic complications. The awareness of the posttransplant anatomy and normal imaging appearances helps radiologists anticipate and accurately detect posttransplant complications.
在过去几十年中，免疫抑制方案、手术技术和术后护理的进步改善了肠移植患者的预后。正常的术后即刻影像学表现可能模拟疾病。由于复杂的手术技术，涉及多个吻合口以及同种异体肠的免疫原性，肠移植受者易发生多种术后并发症。影像学在检测包括感染、免疫、血管、胃肠道、胰胆管、泌尿生殖和肿瘤等多种主要并发症方面发挥着至关重要的作用。对移植后解剖结构和正常影像学表现的认识有助于放射科医生预测和准确检测移植后并发症。
