Diagnosis and treatment of infected pancreatic necrosis complicated with abdominal and gastrointestinal hemorrhage
CAO Fen
LU Jiong-di
LI Fei
Abstract：Hemorrhage is the main cause of late death in patients with infected pancreatic necrosis(IPN).In the course of necrotizing pancreatitis(NP),the necrotic area will be confined or spread and expand,both localized encapsulation and continuous spread of necrosis can invade and compress surrounding organs and blood vessels,leading to intra-abdominal or digestive bleeding.Additionally,Coagulation dysfunction of the patients and surgical intervention increase the risk of bleeding.Common types of intra-abdominal hemorrhage include pseudoaneurysm rupture,cyst hemorrhage,etc.while common types of gastrointestinal bleeding include acute gastric mucosal lesions,ulcer bleeding,pancreatic portal hypertensive bleeding and endoscopic stent-related bleeding.Clinicians should take different treatment measures to improve prognosis based on the patient's condition,bleeding site,and type,while also relying on multidisciplinary diagnosis and treatment.Conservative treatment is only suitable for patients with minor bleeding and stable vital signs,while most patients still need timely endoscopic,interventional embolization or surgical intervention.
Keywords：acute pancreatitisinfected pancreatic necrosisabdominal hemorrhagegastrointestinal hemorrhagediagnosis and treatment
Publication Date：2024-05-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 541-544 )