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JOP. 2008 Mar 8;9(2):172-8.

Management of delayed arterial hemorrhage after pancreaticoduodenectomy. A case series.

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1
HPB Unit, Department of BioSurgery and Surgical Technology, Hammersmith Hospital. London, England.

Abstract

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.

CASE SERIES:

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%).

CONCLUSION:

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.

PMID:
18326925
[Indexed for MEDLINE]
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