Pancreatitis: Preventing catastrophic haemorrhage

被引：43

作者：

Evans, Richard P. T. ^{[1
]}

Mourad, Moustafa Mabrouk ^{[2
]}

Pall, Gunraj ^{[1
]}

Fisher, Simon G. ^{[2
]}

Bramhall, Simon R. ^{[2
]}

机构：

[1] Russels Hall Hosp, Dudley DY1 2HQ, England

[2] Wye Valley NHS Trust, Dept Surg, Stonebow Rd, Hereford HR1 2ER, England

来源：

WORLD JOURNAL OF GASTROENTEROLOGY | 2017年 / 23卷 / 30期

关键词：

Complication of pancreatitis; Splenicartery; Pancreatitis; Haemorrhage; Pseudoaneurysm; GUIDED THROMBIN INJECTION; SPLENIC ARTERY PSEUDOANEURYSM; NATIONWIDE EPIDEMIOLOGIC SURVEY; MAJOR VASCULAR COMPLICATIONS; ENDOSCOPIC ULTRASOUND; BLEEDING PSEUDOANEURYSMS; ATLANTA CLASSIFICATION; ENDOVASCULAR TREATMENT; MASSIVE HEMORRHAGE; NATURAL-HISTORY;

D O I：

10.3748/wjg.v23.i30.5460

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Pancreatitis represents nearly 3% of acute admissions to general surgery in United Kingdom hospitals and has a mortality of around 1%-7% which increases to around 10%-18% in patients with severe pancreatitis. Patients at greatest risk were those identified to have infected pancreatic necrosis and/or organ failure. This review seeks to highlight the potential vascular complications associated with pancreatitis that despite being relatively uncommon are associated with mortality in the region of 34%-52%. We examine the current evidence base to determine the most appropriate method by which to image and treat pseudo-aneurysms that arise as the result of acute and chronic inflammation of pancreas. We identify how early recognition of the presence of a pseudo-aneurysm can facilitate expedited care in an expert centre of a complex pathology that may require angiographic, percutaneous, endoscopic or surgical intervention to prevent catastrophic haemorrhage.

引用

页码：5460 / 5468

页数：9

共 92 条

[1] Significance of splenic vein thrombosis in chronic pancreatitis [J].