Current approaches to the management of jejunal variceal bleeding at the site of hepaticojejunostomy after pancreaticoduodenectomy  

作　　者：Dmitry Victorovich Garbuzenko 

机构地区：[1]Department of Faculty Surgery,South Ural State Medical University,Chelyabinsk 454092,Russia

出　　处：《World Journal of Gastroenterology》2024年第37期4083-4086,共4页世界胃肠病学杂志（英文）

摘　　要：Jejunal variceal bleeding at the site of hepaticojejunostomy after pancre-aticoduodenectomy due to portal hypertension caused by extrahepatic portal vein obstruction is a life-threatening complication and is very difficult to treat.Pharma-cotherapy,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 mana-gement strategy has not yet been established,which is due to the lack of ran-domized controlled trials involving a large cohort of patients necessary for their development.

关 键 词：PANCREATICODUODENECTOMY HEPATICOJEJUNOSTOMY Extrahepatic portal vein obstruction Portal hypertension Jejunal variceal bleeding MANAGEMENT 

分 类 号：R657.5[医药卫生—外科学]