胰腺炎相关胃肠道出血的血管内治疗

Gastrointestinal Intervention Pub Date : 2018-10-31 DOI:10.18528/GII180032

S. Noh, J. Shin

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引用次数: 0

摘要

胰腺炎后出血可能在病程中变得复杂，并可能导致致命后果。放射学表现如下：存在血肿、出血性假性囊肿、造影剂外渗或动脉假性动脉瘤形成。数字减影血管造影术的结果如下：动脉破裂引起造影剂外渗；假性动脉瘤形成；和管腔不规则。假性动脉瘤由于有破裂的风险，被认为是在发现后立即治疗的。血管内管理，包括使用线圈、氰基丙烯酸正丁酯、明胶海绵、支架和凝血酶进行栓塞，是治疗胰腺炎相关出血的有效选择。版权所有©2018，胃肠道干预学会。

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Endovascular treatment of pancreatitis-related gastrointestinal bleeding

Hemorrhage following pancreatitis may become complicated during the disease course and with possibly fatal consequences. Radiologic findings are as follows: the presence of hematomas, hemorrhagic pseudocysts, extravasation of contrast media or the formation of arterial pseudoaneurysms. The digital subtraction angiography findings are as follows: contrast extravasation due to arterial rupture; pseudoaneurysm formation; and luminal irregularity. A pseudoaneurysm is considered to be treated as soon as detected due to its risk of rupture. Endovascular management, which includes embolization using coils, N-butyl cyanoacrylate, gelatin sponge, stents, and thrombin, is an effective option for the treatment for pancreatitis-related bleeding. Copyright © 2018, Society of Gastrointestinal Intervention.

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来源期刊

Gastrointestinal Intervention

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： IJGII (pISSN 2636-0004, eISSN 2636-0012) was published four times a year on the last day of January, April, July, and October, which has effected from January 1 in 2019. This Journal was first published biannually on June and December, beginning in December 2012 under the title ‘Gastrointestinal Intervention’ (former pISSN 2213-1795, eISSN 2213-1809) and was changed to be published three times a year from 2016. Commencing with the January 2019 issue, the Journal was renamed ‘International Journal of Gastrointestinal Intervention’. As the official journal of the Society of Gastrointestinal Intervention (SGI), International Journal of Gastrointestinal Intervention (IJGII) delivers original, peer-reviewed articles for gastroenterologists, interventional radiologists, surgeons, gastrointestinal oncologists, nurses and technicians who need current and reliable information on the interventional treatment of gastrointestinal and hepatopancreaticobiliary diseases. Regular features also include ‘state-of-the-art’ review articles by leading authorities throughout the world. IJGII will become an international forum for the description and discussion of the various aspects of interventional radiology, endoscopy and minimally invasive surgery.