Arterial erosions in acute pancreatitis.
Acta Chir Belg
; 101(5): 232-7; discussion 237-9, 2001.
Article
in En
| MEDLINE
| ID: mdl-11758107
ABSTRACT
Acute pancreatitis was observed in 492 patients. Fourteen (2.8%) developed an arterial erosion revealed by a haemorrhage either in the digestive lumen, in the peritoneum or via previously placed drainage. The eroded artery was the splenic artery in six patients, a pancreatico-duodenal artery in five patients. An initial haemostasis was attempted by a) embolization in four patients one died; the three others had bleeding recurrence. b) splenocorporeal pancreatectomy in four patients, three had bleeding recurrence. c) arterial ligature in four patients three had bleeding recurrence. Secondary haemostatic procedures were performed in ten patients but a durable haemostasis was achieved in only five patients two had a pancreatic resection and three were treated by a redo-binding. It is noteworthy that durable haemostasis could not be obtained neither by embolization nor by ligature in necrotic tissues. This could explain the difference in the results of arterial erosion treatments in chronic and in acute pancreatitis. Therefore, it is suggested that haemostatic procedures should be performed away from necrotic tissues, or eventually done after their removal.
Search on Google
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pancreas
/
Splenic Artery
/
Pancreatitis, Acute Necrotizing
/
Duodenum
/
Embolization, Therapeutic
/
Hemorrhage
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Acta Chir Belg
Year:
2001
Document type:
Article