Barone G W, Webb J W, Hudec W A
Department of Surgery, University of Arkansas for Medical Sciences, Little Rock 72205, USA.
Am J Gastroenterol. 1998 Aug;93(8):1369-71. doi: 10.1111/j.1572-0241.1998.420_a.x.
With most combined kidney and pancreas transplants the transplant pancreatic exocrine secretions are managed with urinary bladder drainage. Because of the associated metabolic and infectious complications, many pancreatic transplants require later conversion to enteric drainage, and the trend in this country is now toward primary enteric drainage. Unlike with urinary bladder drainage when direct cystoscopy can be performed, a disadvantage with enteric drainage is that problems such as bleeding from a transplanted pancreas and attached duodenal segment are not easily evaluated. A case of a cytomegalovirus-related bleeding ulcer in an enteric drained pancreas is presented, along with a review of the possible diagnostic evaluation.
在大多数胰肾联合移植中，移植胰腺的外分泌液通过膀胱引流进行处理。由于相关的代谢和感染并发症，许多胰腺移植后期需要转换为肠道引流，而目前该国的趋势是采用一期肠道引流。与可进行直接膀胱镜检查的膀胱引流不同，肠道引流的一个缺点是移植胰腺及相连十二指肠段的出血等问题不易评估。本文介绍了一例肠道引流胰腺中与巨细胞病毒相关的出血性溃疡病例，并对可能的诊断评估进行了综述。
