Analysis of risk factors for post pancreatectomy hemorrhage: a report of 236 cases
SONG Jun-min
XING Bao-cai
Abstract：Objective To investigate the risk factors, diagnosis and treatment for post pancreatectomy hemorrhage (PPH). Methods The clinical data of patients performed pancreatic surgery between 2003 and 2007 at Beijing Cancer Hospital were analyzed retrospectively. The data included bleeding risk factors, clinical presentation, management and outcome. Results Among 236 cases, PPH occurred in 33 cases. Four of 33 cases were performed angiography and embolism. Seven cases performed surgery. One case performed endoscopy. Six cases died. Others performed medical treatment. Conclusion Pyoporitoneum, pancreatic fistula and surgery choice are important factors in the pathogenesis of PPH, other than factors such as sex, age, pathology, delayed gastric emptying, etc. Early drain is essential after pancreatic fistula. Angiography should be considered firstly to confirm the bleeding source.
Keywords：post pancreatectomy hemorrhagepancreatic fistulahemostasia
Publication Date：2010-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 108-110,121 )