Management of delayed arterial hemorrhage after pancreaticoduodenectomy. a case series
Khorsandi, S.E.; Limongelli, P.; Jackson, J.E.; Tait, P.; Williamson, R.C.; Habib, N.A.; Jiao, L.R.
Jop Journal of the Pancreas 9(2): 172-178
2008
ISSN/ISBN: 1590-8577 PMID: 18326925 Document Number: 623657
CONTEXT Delayed arterial hemorrhage is a rare complication after pancreaticoduodenectomy (frequency 2-4%) but carries a high mortality, with up to a third of patients dying as a consequence. Its ideal management remains unclear. Between 1993 and 2007, 317 head of pancreas resections were performed at our institution; there were 5 cases of delayed arterial hemorrhage (frequency 1.6%). This paper presents our experience in the management of delayed arterial haemorrhage post pancreaticoduodenecomy and discusses the role of angiograms, endoscopy and laparotomy in its management.