Gastrointestinal bleeding after surgical treatment of patients with chronic pancreatitis
DOI:
https://doi.org/10.11603/2414-4533.2017.3.8021Keywords:
chronic pancreatitis, resection, bleeding, endovascular hemostasis, double-balloon enteroscopy, laser.Abstract
The aim of the work: to study the frequency and optimal methods of treating of gastrointestinal bleeding after pancreatic resection for chronic pancreatitis.
Materials and Methods. The study included 437 interventions for chronic pancreatitis, including 331 pancreatic resections. Postoperative gastrointestinal bleeding occurred in 17 (5.1 %) patients.
Results and Discussion. Conservative therapy was used in 6 patients. Relaparotomy was performed in 7 patients. Endovascular hemostasis was successfully used in 2 patients. Endoscopic hemostasis of the pancreatojunoanastomosis was performed using a doubleballoon enteroscopy. One (5.9 %) patient died. Resections of the pancreas are associated with a high risk of postoperative bleeding. Urgent relaparotomy for hemostasis is indicated if late profuse bleedings occurred. The effectiveness of endovascular and endoscopic hemostasis require further studies.
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