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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
引用统计
被引频次:15[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/51837
专题北京大学临床肿瘤学院_肝胆胰外科
北京大学临床肿瘤学院_肝胆胰外二科
北京大学临床肿瘤学院_介入治疗科
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
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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.
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