[Angiographic findings and interventional therapy for post-pancreaticoduodenectomy hemorrhage].

ABSTRACT

OBJECTIVE: To discuss the angiographic findings and the safety and efficacy of interventional therapy for post-pancreaticoduodenectomy hemorrhage. METHODS: The clinical data, features of angiography, interventional treatment technology and prognosis of 29 patients underwent post-pancreaticoduodenectomy bleeding between August 2009 and June 2012 were retrospectively analyzed in our hospital. RESULTS: In all 29 patients, 6 cases underwent gastrointestinal bleeding, 21 cases of abdominal bleeding, 2 cases had abdominal cavity and gastrointestinal bleeding, hemorrhage occurred 8 h - 72 d after surgery. Angiographic findings including extravasation of contrast media, and pseudo aneurysm formation, local arterial intima not smooth, stenosis, distal artery branch expansion. The success rate of interventional techniques was 93.94%, hemostatic rate was 90%. 3 cases died. CONCLUSION: The embolization therapy is a safe and effective technique, should be as the first-line diagnostic and treatment choice for patients with post-pancreaticoduodenectomy bleeding.