Pancreatitis: Preventing catastrophic haemorrhage.

Autor:	Evans RP; Richard PT Evans, Gunraj Pall, Russel's Hall Hospital, Dudley DY1 2HQ, United Kingdom., Mourad MM; Richard PT Evans, Gunraj Pall, Russel's Hall Hospital, Dudley DY1 2HQ, United Kingdom., Pall G; Richard PT Evans, Gunraj Pall, Russel's Hall Hospital, Dudley DY1 2HQ, United Kingdom., Fisher SG; Richard PT Evans, Gunraj Pall, Russel's Hall Hospital, Dudley DY1 2HQ, United Kingdom., Bramhall SR; Richard PT Evans, Gunraj Pall, Russel's Hall Hospital, Dudley DY1 2HQ, United Kingdom.
Jazyk:	angličtina
Zdroj:	World journal of gastroenterology [World J Gastroenterol] 2017 Aug 14; Vol. 23 (30), pp. 5460-5468.
DOI:	10.3748/wjg.v23.i30.5460
Abstrakt:	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. Competing Interests: Conflict-of-interest statement: None of the authors has any potential conflicting financial interests relevant to this article.
Databáze:	MEDLINE
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