ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2014
Postpancreatectomy hemorrhage--incidence, treatment, and risk factors in over 1,000 pancreatic resections.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers.
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Who cites it
82 citing papers in PubMed, 152 citations in OpenAlex.
- Pancreatogastrostomy Versus Pancreatojejunostomy for RECOnstruction After PANCreatoduodenectomy (RECOPANC, DRKS 00000767): Perioperative and Long-term Results of a Multicenter Randomized Controlled Trial.Annals of surgery · 2016Trial
- Is stent graft placement superior to transarterial embolization in the treatment of patients with extraluminal post-pancreatectomy hemorrhage?Surgery today · 2026Article
- Interventional radiology in the management of complications after pancreatic surgery: a single-center experience.Abdominal radiology (New York) · 2026Article
- Choledochoduodenostomy versus transpapillary stent by endoscopic retrograde cholangiopancreatography for preoperative biliary drainage before pancreatoduodenectomy: a French multicenter retrospective cohort study.Surgical endoscopy · 2026Article
- Evaluating C-Reactive Protein in Drainage Fluid as a Predictive Biomarker for Clinically Relevant Pancreatic Fistulas Following Pancreaticoduodenectomy.Annals of surgical oncology · 2026Article
- Hepaticojejunostomy Insufficiency-Associated Arterial Hemorrhage in Patients After Pancreatic Surgery.Journal of clinical medicine · 2026Article
- Application of reinforced U-shaped suture technique in laparoscopic distal pancreatectomy: an analysis of 165 consecutive cases.BMC surgery · 2026Article
- Venous Resection During Pancreatoduodenectomy for Pancreatic Cancer: A Systematic Review and Meta-Analysis.Life (Basel, Switzerland) · 2026Review
- TachoSilLangenbeck's archives of surgery · 2026Article
- A risk-scoring model for predicting late postoperative hemorrhage following pancreatoduodenectomy: development and external validation.Frontiers in surgery · 2026Article
- Pancreaticoduodenectomy with choledochoduodenostomy and pancreaticojejunostomy in a cat with bile and pancreatic duct obstruction secondary to a recurrent carcinoid.Veterinary surgery : VS · 2025Article
- Machine learning model for postpancreaticoduodenectomy haemorrhage prediction: an international multicentre cohort study.BMJ open · 2025Article
- Polyurethane-based tissue adhesive for sealing pancreatic anastomosis: a pig model.Surgical endoscopy · 2025Article
- Nomogram to predict late extraluminal postpancreatectomy hemorrhage in patients with postoperative pancreatic fistula after pancreaticoduodenectomy.Gland surgery · 2025Article
- A Multimodal Approach Utilizing Balloon Occlusion for Postpancreatectomy Hemorrhage: A Case Report.Surgical case reports · 2025Article
- Loeys-Dietz Syndrome Presenting as Hemorrhage From Arteriobiliary Fistula: Endoscopic Management of Hemostasis.Gastro hep advances · 2025Article
- Prevalence of relevant early complications during the first 24 h on a normal ward in patients following PACU care after medium and major surgery: a monocentric retrospective observational study.Langenbeck's archives of surgery · 2024Observational
- Anastomotic bleeding from invaginated pancreaticogastrostomy following pancreatoduodenectomy: incidence, risk factors, treatment and prevention.Langenbeck's archives of surgery · 2024Article
- Unusual massive venous hemorrhage after pancreatoduodenectomy treated by endovascular approach.Journal of surgical case reports · 2024Article
- Transcatheter arterial embolization with N-butyl cyanoacrylate for postoperative hemorrhage treatment following pancreatoduodenectomy.Emergency radiology · 2024Article
22 more citing papers are in PubMed but not listed here.
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostpancreatectomy hemorrhage is a rare but often severe complication after pancreatic resection. The aim of this retrospective study was to define incidence and risk factors of postpancreatectomy hemorrhage and to evaluate treatment options and outcome. PATIENTS AND
methodsClinical data was extracted from a prospectively maintained database. Descriptive statistics, univariate and multivariate risk factor analysis by binary logistic regression were performed with SPSS software at a significance level of p = 0.05.
resultsN = 1,082 patients with pancreatic resections between 1994 and 2012 were included. Interventional angiography was successful in about half of extraluminal bleeding. A total of 78 patients (7.2 %) had postpancreatectomy hemorrhage (PPH), and 29 (2.7 %) were grade C PPH. Multivariate modeling disclosed a learning effect, age, BMI, male sex, intraoperative transfusion, portal venous and multivisceral resection, pancreatic fistula and preoperative biliary drainage as independent predictors of severe postpancreatectomy hemorrhage. High-risk histopathology, age, transfusion, pancreatic fistula, postpancreatectomy hemorrhage and pancreatojejunostomy in pancreatoduodenectomies were independent predictors of mortality.
conclusionsOur study identifies clinically relevant risk factors for postpancreatectomy hemorrhage and mortality. Interventional treatment of extraluminal hemorrhage is successful in about half of the cases and if unsuccessful constitutes a valuable adjunct to operative hemostasis. Based on our observations, we propose a treatment scheme for PPH. Risk factor analysis suggests appropriate patient selection especially for extended resections and pancreatogastrostomy for reconstruction in pancreatoduodenectomy.
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