IR@PKUHSC  > 北京大学临床肿瘤学院  > 肝胆胰外科
学科主题临床医学
Management of Delayed Post-Pancreaticoduodenectomy Arterial Bleeding: Interventional Radiological Treatment First
Zhang, Ji1; Zhu, Xu2; Chen, Hui2; Qian, Hong-Gang1; Leng, Jia-Hua1; Qiu, Hui1; Wu, Jian-Hui1; Liu, Bo-Nan1; Liu, Qiao1; Lv, Ang1; Li, Ying-Jie1; Zhou, Guo-Quan1; Hao, Chun-Yi1
关键词Clinical Studies Hepatobiliary Malignancy Interventional Therapy Pancreatic Surgery Delayed Postoperative Bleeding Arterial Bleeding
刊名PANCREATOLOGY
2011
DOI10.1159/000331456
11期:5页:455-463
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Gastroenterology & Hepatology
研究领域[WOS]Gastroenterology & Hepatology
关键词[WOS]LONG-TERM SURVIVAL ; PANCREATIC HEAD RESECTION ; INTERNATIONAL STUDY-GROUP ; BILIARY SURGERY ; RISK-FACTORS ; POSTPANCREATECTOMY HEMORRHAGE ; VISCERAL PSEUDOANEURYSMS ; POSTOPERATIVE HEMORRHAGE ; RUPTURED PSEUDOANEURYSM ; DUCTAL ADENOCARCINOMA
英文摘要

Objective: To investigate the diagnosis and treatment of delayed post-pancreaticoduodenectomy arterial bleeding (DPPAB). Methods: Records of 336 patients who underwent pancreaticoduodenectomy (PD) between January 2000 and December 2010 were retrospectively analyzed. Detailed data of patients with DPPAB were assessed by a thorough review of medical records. Results: 14 patients developed DPPAB. The mean time interval between the initial surgery and DPPAB was 33 days (range 7-72). Three patients experienced sentinel bleeding 5-8 days before DPPAB. All DPPAB patients had intra-abdominal septic complications before bleeding. The overall prevalence of success of angiography and transcatheter arterial embolization (TAE) was 85.7% (12/14), including 3 patients who achieved complete hemostasis by TAE after unsuccessful re-laparotomy. The prevalence of mortality of DPPAB was 28.6% (4/14). After hemostasis was achieved, intra-abdominal septic complications were controlled by percutaneous catheter drainage or re-laparotomy with drain replacement. Conclusion: Angiography and TAE are recommended as the first-line diagnostic and treatment choice for DPPAB, respectively. Surgical intervention should be preserved to eliminate the cause of bleeding. Copyright (C) 2011 S. Karger AG, Basel and IAP

语种英语
WOS记录号WOS:000298850900001
Citation statistics
Cited Times:14[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/51837
Collection北京大学临床肿瘤学院_肝胆胰外科
作者单位1.Peking Univ, Sch Oncol, Beijing Canc Hosp & Inst, Dept Hepatopancreatobiliary Surg, Beijing 100142, Peoples R China
2.Peking Univ, Sch Oncol, Beijing Canc Hosp & Inst,Minist Educ, Dept Intervent Radiol,Key Lab Carcinogenesis & Tr, Beijing 100142, Peoples R China
Recommended Citation
GB/T 7714
Zhang, Ji,Zhu, Xu,Chen, Hui,et al. Management of Delayed Post-Pancreaticoduodenectomy Arterial Bleeding: Interventional Radiological Treatment First[J]. PANCREATOLOGY,2011,11(5):455-463.
APA Zhang, Ji.,Zhu, Xu.,Chen, Hui.,Qian, Hong-Gang.,Leng, Jia-Hua.,...&Hao, Chun-Yi.(2011).Management of Delayed Post-Pancreaticoduodenectomy Arterial Bleeding: Interventional Radiological Treatment First.PANCREATOLOGY,11(5),455-463.
MLA Zhang, Ji,et al."Management of Delayed Post-Pancreaticoduodenectomy Arterial Bleeding: Interventional Radiological Treatment First".PANCREATOLOGY 11.5(2011):455-463.
Files in This Item:
There are no files associated with this item.
Related Services
Recommend this item
Bookmark
Usage statistics
Export to Endnote
谷歌学术
谷歌学术Similar articles in
[Zhang, Ji]'s Articles
[Zhu, Xu]'s Articles
[Chen, Hui]'s Articles
百度学术
百度学术Similar articles in
[Zhang, Ji]'s Articles
[Zhu, Xu]'s Articles
[Chen, Hui]'s Articles
必应学术
必应学术Similar articles in
[Zhang, Ji]'s Articles
[Zhu, Xu]'s Articles
[Chen, Hui]'s Articles
Terms of Use
No data!
Social Bookmark/Share
All comments (0)
No comment.
 

Items in the repository are protected by copyright, with all rights reserved, unless otherwise indicated.