Hemorrhagic Complications After Whipple Surgery: Imaging and Radiologic Intervention

被引:52
作者
Puppala, Sapna [1 ]
Patel, Jai [1 ]
McPherson, Simon [1 ]
Nicholson, Anthony [1 ]
Kessel, David [1 ]
机构
[1] Leeds Teaching Hosp NHS Trust, Dept Radiol, Leeds LS1 3EX, W Yorkshire, England
关键词
CT angiography; digital subtraction angiography; embolization; pancreatoduodenectomy; stent; PSEUDOANEURYSM FOLLOWING PANCREATICODUODENECTOMY; STENT-GRAFT; ANGIOGRAPHY; MANAGEMENT;
D O I
10.2214/AJR.10.4727
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. The aim of this pictorial essay is to illustrate the radiologic patterns, sites of bleeding, and vascular interventional techniques used in the management of postpancreatectomy hemorrhage. CONCLUSION. Hemorrhagic complications occur in fewer than 10% of patients after Whipple pancreatoduodenectomy but account for as many as 38% of deaths. Bleeding typically occurs from the stump of the gastroduodenal artery, but other sites of bleeding are increasingly recognized.
引用
收藏
页码:192 / 197
页数:6
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