胰十二指肠切除术后胆肠吻合口空肠静脉曲张出血的处理方法。
Current approaches to the management of jejunal variceal bleeding at the site of hepaticojejunostomy after pancreaticoduodenectomy.
机构信息
Department of Faculty Surgery, South Ural State Medical University, Chelyabinsk 454092, Russia.
出版信息
World J Gastroenterol. 2024 Oct 7;30(37):4083-4086. doi: 10.3748/wjg.v30.i37.4083.
Abstract
Jejunal variceal bleeding at the site of hepaticojejunostomy after pancreaticoduodenectomy due to portal hypertension caused by extrahepatic portal vein obstruction is a life-threatening complication and is very difficult to treat. Pharmacotherapy, endoscopic methods, transcatheter embolization of veins supplying the jejunal afferent loop, portal venous stenting, and surgical procedures can be used for the treatment of jejunal variceal bleeding. Nevertheless, the optimal management strategy has not yet been established, which is due to the lack of randomized controlled trials involving a large cohort of patients necessary for their development.
摘要
由于肝外门静脉阻塞引起的门脉高压导致胰十二指肠切除术后胆肠吻合口处空肠静脉出血是一种危及生命的并发症，且非常难以治疗。药物治疗、内镜方法、向空肠输入襻供血静脉进行经导管栓塞、门静脉支架置入和手术都可用于治疗空肠静脉出血。然而，还没有建立最佳的管理策略，这是因为缺乏涉及大量患者的随机对照试验，而这是其发展所必需的。
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