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胰腺移植术后自发性动脉-肠瘘

Spontaneous arterioenteric fistula after pancreas transplantation.

作者信息

Gritsch H A, Shapiro R, Egidi F, Randhawa P S, Starzl T E, Corry R J

机构信息

Department of Surgery, University of Pittsburgh Medical Center, Pennsylvania 15213, USA.

出版信息

Transplantation. 1997 Mar 27;63(6):903-4. doi: 10.1097/00007890-199703270-00018.

DOI:10.1097/00007890-199703270-00018
PMID:9089233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2976525/
Abstract

Chronic pancreas transplant rejection with enteric exocrine drainage can lead to significant long-term complications. We report a case of a 47-year-old male insulin-dependent diabetic who survived the complications of peripancreatic abscess, enterocutaneous fistula, and arterioenteric fistula related to pancreas transplantation. To avoid these long-term complications, we now recommend elective removal of nonfunctioning, enterically drained pancreas allografts.

摘要

伴有肠内外分泌引流的慢性胰腺移植排斥反应可导致严重的长期并发症。我们报告了一例47岁的胰岛素依赖型糖尿病男性患者，他在胰腺移植相关的胰周脓肿、肠皮肤瘘和动脉肠瘘并发症中存活下来。为避免这些长期并发症，我们现在建议选择性切除无功能的、经肠引流的胰腺异体移植物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a3f/2976525/df6d1866424e/nihms246230f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a3f/2976525/df6d1866424e/nihms246230f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a3f/2976525/df6d1866424e/nihms246230f1.jpg

相似文献

1
Spontaneous arterioenteric fistula after pancreas transplantation.胰腺移植术后自发性动脉-肠瘘
Transplantation. 1997 Mar 27;63(6):903-4. doi: 10.1097/00007890-199703270-00018.
2
Enteric-drained pancreas transplants monitored by fine-needle aspiration biopsy.通过细针穿刺活检监测的肠道引流式胰腺移植。
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Portal venous and enteric exocrine drainage in simultaneous pancreas-kidney transplantation: experience with 70 consecutive transplant recipients.胰肾联合移植中的门静脉和肠道外分泌引流：70例连续移植受者的经验
Transplant Proc. 2003 Sep;35(6):2102-3. doi: 10.1016/s0041-1345(03)00739-5.
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A randomized trial in simultaneous pancreas-kidney transplantation: portal versus systemic venous drainage of the pancreas allograft.一项胰肾联合移植的随机试验：胰腺移植物门静脉与体静脉引流的比较。
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引用本文的文献

1
Critical presentation and management of an acute gastrointestinal haemorrhage as a result of an arterioenteric fistula secondary to a failed pancreatic allograft.因移植胰腺失功导致的动静脉瘘引起急性胃肠道出血的危急表现及处理。
BMJ Case Rep. 2021 Jul 13;14(7):e242549. doi: 10.1136/bcr-2021-242549.
2
Arterio-enteric fistula in failed enteric-drained pancreas transplants: an impending danger.肠内引流式胰腺移植失败后发生的动脉-肠瘘：一种潜在危险。
Int J Angiol. 2014 Mar;23(1):65-8. doi: 10.1055/s-0033-1349169.
3
Arteriojejunal Fistula Presenting with Recurrent Obscure GI Hemorrhage in a Patient with a Failed Pancreas Allograft.胰肾联合移植失败患者出现反复不明原因胃肠道出血伴发的空肠动脉瘘
Case Rep Transplant. 2013;2013:171807. doi: 10.1155/2013/171807. Epub 2013 Dec 25.

本文引用的文献

1
Enteric drainage of pancreas transplants revisited.胰腺移植的肠道引流再探讨。
Transplant Proc. 1995 Dec;27(6):3048-9.
2
Simplifying the technique for pancreaticoduodenal transplantation with enteric exocrine drainage.简化胰十二指肠移植并采用肠内外分泌引流的技术。
Transplant Proc. 1995 Dec;27(6):3027-8.
3
Urological complications and enteric conversion after pancreas transplantation with bladder drainage.胰腺移植膀胱引流术后的泌尿系统并发症及肠道改道
Transplant Proc. 1994 Apr;26(2):458-9.
4
Is transplant pancreatectomy after graft failure necessary?
Transplant Proc. 1994 Apr;26(2):455.
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Arteriovesical fistula after pancreatic transplantation.
J Urol. 1995 Nov;154(5):1861-2.
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Pancreas transplant results in the United Network for Organ Sharing (UNOS) United States of America (USA) Registry compared with non-USA data in the International Registry.美国器官共享联合网络（UNOS）登记处中胰腺移植的结果与国际登记处的非美国数据相比较。
Clin Transpl. 1994:47-68.
7
Pancreaticoduodenal transplantation in humans.人类胰十二指肠移植
Surg Gynecol Obstet. 1984 Sep;159(3):265-72.
8
Technique of simultaneous renal pancreatoduodenal transplantation with urinary drainage of pancreatic secretion.胰腺分泌液尿路引流的同期肾胰十二指肠联合移植技术
Am J Surg. 1987 Apr;153(4):405-6. doi: 10.1016/0002-9610(87)90588-5.
9
Arterial mycotic aneurysm and rupture. A potentially fatal complication of pancreas transplantation in diabetes mellitus.动脉感染性动脉瘤与破裂。糖尿病患者胰腺移植的一种潜在致命并发症。
Arch Surg. 1989 Jun;124(6):660-1. doi: 10.1001/archsurg.1989.01410060022003.