人活体小肠移植术后内镜监测

Endoscopic monitoring of human small intestinal vivotransplantation

目的 报告国内首例活体部分小肠移植术后内镜监测结果 ,讨论内镜监测的作用和意义 .方法 自末端回肠肠造口插入内镜 ,观察移植肠粘膜变化 ,并取检肠粘膜组织做病理学检查 .结果 描述了术后不同时期移植肠粘膜的内镜下表现 ,及时诊断出肠道出血、急性排斥反应等并发症 .

AIM To report the results of endoscopic monitoring following the first case of small intestinal vivotransplantation in China and to discuss the effects and significance of endoscopic monitoring. METHODS Endoscopic observation and biopies of the graft were carried out through the terminal ileum enterostomy. RESULTS Endoscopic manifestation of the graft during different period after transplantation was described. Bowel bleeding and acute rejection following the transplantation were diagnosed promptly. CONCLUSION Endoscopic observation and pathologic examination are the most reliable method to monitor the graft after the small intestinal transplantation.