| Autor: |
Słodkowski, Maciej, Lech, Gustaw, Bernat, Dominika, Januszewicz, Magdalena, Jankowski, Mieczysław, Cebulski, Włodzimierz, Rowiński, Olgierd, Krasnodębski, Ireneusz Wojciech |
| Předmět: |
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| Zdroj: |
Polish Surgery / Chirurgia Polska; 2006 Supplement, Vol. 8, p17-17, 1/5p |
| Abstrakt: |
Background: An evaluation of the treatment of severe hemorrhagic complications in patients with CP. Material and methods: 11 patients (5 F and 6 M; mean age 51) were treated because of hemorrhagic complications directly related to CP, between 1999 and 2006. Results: The clinical presentation was: severe pain -- 8 cases, gastrointestinal bleeding -- 2 cases, intraperitoneal bleeding -- 2 cases. Pseudoaneurysm was diagnosed in 9 patients and a ruptured pancreatic pseudocyst in 2 patients. Pseudoaneurysm involving the splenic artery -- 6 cases; the pancreaticoduodenal artery -- 1; the left gastric artery -- 1; the gastroduodenal artery -- 1. Three patients underwent embolization of which one was successful. All patients were operated on, including a patient who had undergone an effective embolization having been operated on due to a pancreatic abscess. The following procedures were performed: ligation of the artery supplying the pseudoaneurysm -- 4; cystogastrostomy -- 2; colagulation of the ruptured cyst -- 2; distal pancreatic resection -- 1; pancreatoduodenectomy -- 1; drainage of the pancreatic abscess -- 1. Four patients underwent reoperation because of bleeding during the postoperative period. In 1 case reoperation was caused by evisceration. Two pancreatic fistulas and 1 intestinal fistula were successfully treated conservatively. There were no postoperative deaths. Conclusion: 1. The majority (82%) of severe hemorrhagic complications of CP is caused by pseudoaneurysm. 2. Minimally invasive treatment is usually not sufficient. 3. Surgical treatment is effective, but the complication rate is still high (64%). [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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