Interventional Radiology Options after Visceral Surgery.

IF 1.8 4区医学 Q3 GASTROENTEROLOGY & HEPATOLOGY

Visceral Medicine Pub Date : 2022-10-01 Epub Date: 2022-10-21 DOI:10.1159/000526772

Sinan Deniz, Osman Öcal, Florian Kühn, Martin Kurt Angele, Jens Werner, Florian Streitparth

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引用次数: 1

Abstract

Background: Postoperative management of patients undergoing visceral surgery can present challenging clinical situations with significant morbidity and mortality. Interventional radiological techniques offer quick, safe, and effective minimally invasive treatment options in the postoperative management of visceral surgery.

Summary: Most commonly done procedures include - but are not limited to - fluid or abscess drainage, biliary diversion, bleeding embolization, and re-canalization of a thrombosed vessel. While bleeding from side branches after hepatobiliary and pancreatic surgeries can be managed by coil embolization, the hepatic arterial injury should be managed by stent-graft placement. Hepatic venous complications can require a transhepatic or transjugular approach, whereas the transjugular intrahepatic portosystemic shunt approach has a higher clinical success rate in patients with portal vein thrombosis. Biliary leakages require multidisciplinary management, and interventional radiology can offer an efficient treatment, especially in patients with biliodigestive anastomosis.

Key messages: Interventional radiology provides a broad spectrum of procedures in the management of patients with recent visceral surgery.

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内脏手术后的介入放射学选择

背景：接受内脏手术的患者的术后管理可能会带来具有挑战性的临床情况，具有显著的发病率和死亡率。介入放射学技术为内脏手术的术后管理提供了快速、安全和有效的微创治疗选择。总结：最常见的手术包括但不限于液体或脓肿引流、胆道改道、出血栓塞和血栓血管再通。虽然肝胆胰手术后侧支出血可以通过线圈栓塞来控制，但肝动脉损伤应该通过放置支架来控制。肝静脉并发症可能需要经肝或经颈静脉入路，而经颈静脉肝内门体分流术在门静脉血栓形成患者中的临床成功率更高。胆道渗漏需要多学科管理，介入放射学可以提供有效的治疗，尤其是对胆汁消化性吻合的患者。关键信息：介入放射学为近期内脏手术患者的管理提供了广泛的程序。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Visceral Medicine Medicine-Surgery

CiteScore

4.50

自引率

0.00%

发文量

期刊介绍： This interdisciplinary journal is unique in its field as it covers the principles of both gastrointestinal medicine and surgery required for treating abdominal diseases. In each issue invited reviews provide a comprehensive overview of one selected topic. Thus, a sound background of the state of the art in clinical practice and research is provided. A panel of specialists in gastroenterology, surgery, radiology, and pathology discusses different approaches to diagnosis and treatment of the topic covered in the respective issue. Original articles, case reports, and commentaries make for further interesting reading.