Management of delayed arterial hemorrhage after pancreaticoduodenectomy. A case series

Management of delayed arterial hemorrhage after pancreaticoduodenectomy. A case series

CONTEXT Delayed arterial hemorrhage is a rare complication after pancreaticoduodenectomy (frequency 2-4%) but carries a high mortality, with up to a third of patients dying as a consequence. Its ideal management remains unclear. Between 1993 and 2007, 317 head of pancreas resections were performed a...

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Veröffentlicht in:Journal of the Pancreas 2008-03, Vol.9 (2), p.172-178
Hauptverfasser: Khorsandi, Shirin E, Limongelli, Paolo, Jackson, James E, Tait, Paul, Williamson, Robin C, Habib, Nagy A, Jiao, Long R
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Angiography
Arteries - injuries
Endoscopy, Digestive System
Female
Hemorrhage - diagnosis
Hemorrhage - etiology
Hemorrhage - surgery
Humans
Laparotomy
Male
Middle Aged
Pancreaticoduodenectomy - adverse effects
Radiography, Interventional
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Zusammenfassung:CONTEXT Delayed arterial hemorrhage is a rare complication after pancreaticoduodenectomy (frequency 2-4%) but carries a high mortality, with up to a third of patients dying as a consequence. Its ideal management remains unclear. Between 1993 and 2007, 317 head of pancreas resections were performed at our institution; there were 5 cases of delayed arterial hemorrhage (frequency 1.6%). This paper presents our experience in the management of delayed arterial haemorrhage post pancreaticoduodenecomy and discusses the role of angiograms, endoscopy and laparotomy in its management.
ISSN:1590-8577