Observational studyDiagnostic and interventional radiology (Ankara, Turkey)2019
Strategy and management of severe hemorrhage complicating pancreatitis and post-pancreatectomy.
Observational study in Diagnostic and interventional radiology (Ankara, Turkey), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- Unseen crisis: the unexpected face of acute haemorrhagic pancreatitis.Journal of surgical case reports · 2025Article
- Stent-graft implantation for late postpancreatectomy hemorrhage after pancreatoduodenectomy.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- Gastrointestinal bleeding caused by splenic artery pseudoaneurysm in chronic pancreatitis: a case report and literature review.Journal of surgical case reports · 2024Article
- Review
- Characteristics and Incidence of Colon Complication in Necrotizing pancreatitis: A Propensity Score-Matched Study.Journal of inflammation research · 2023Article
- Indian College of Radiology and Imaging Consensus Guidelines on Interventions in Pancreatitis.The Indian journal of radiology & imaging · 2022Review
- C-reactive protein identifies patients at risk of postpancreatectomy hemorrhage.Langenbeck's archives of surgery · 2022Article
- Evaluation of Open Surgical and Endovascular Treatment Options for Visceral Artery Erosions after Pancreatitis and Pancreatic Surgery.Current oncology (Toronto, Ont.) · 2022Article
- A Rare Case of Rapidly Transforming Pancreatitis With Life-Threatening Complications and Multi-Organ Failure.Cureus · 2021Article
- Endovascular Hepatic Artery Stents in the Modern Management of Postpancreatectomy Hemorrhage.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021Article
- The Role of Laparoscopic Surgery in Localized Pancreatic Neuroendocrine Tumours.Current treatment options in oncology · 2021Review
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTranscatheter arterial embolization (TAE) is increasingly used as the first-line treatment for hemorrhage complicating pancreatitis and post-pancreatectomy. However, the optimal therapeutic strategy remains unclear.
methodsAmong 1924 consecutive patients, 40 patients with severe pancreatic hemorrhage in Xuanwu Hospital were enrolled between 2005 and 2017. Patients underwent angiography and direct TAE for primary diagnosis and treatment of bleeding. Repeat TAE, watch and wait, and laparotomy were used as the other therapeutic options. Patient data, technical success, and 90-day survival were identified.
resultsPancreatic diseases underlying hemorrhage included acute pancreatitis (n=19, 47.5%), chronic pancreatitis (n=12, 30%), and pancreatic cancer (n=9, 22.5%). A history of percutaneous catheter drainage or pancreatic surgery was seen in 29 patients (72.5%). There were 48 angiographies, 31 embolizations, and 5 laparotomies performed. Rebleeding occurred in 8 patients (20%); 4 of whom underwent re-embolization, 3 had laparotomy, and 1 had conservative treatment. Successful clinical hemostasis was achieved in 37 patients. Complications were observed in only 2 patients with renal failure and 1 patient with hepatic insufficiency. In total, 25 patients (62.5%) were alive at the 90-day follow-up.
conclusionEndovascular management is effective for achieving hemostasis in severe pancreatic hemorrhage with a high success rate and low recurrence, and laparotomy is not suitable for rebleeding cases.
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