Possibilities of roentgenendovascular interventions in massive arosive hemorrhage on background of acute destructive pancreatitis
| Autor: | V. V. Grubnik, O. M. Zahorodniuk, Ye. A. Koichev, M. M. Chernov |
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| Jazyk: | Russian<br />Ukrainian |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Клінічна хірургія, Vol 87, Iss 5-6, Pp 46-49 (2020) |
| Druh dokumentu: | article |
| ISSN: | 0023-2130 2522-1396 |
| DOI: | 10.26779/2522-1396.2020.5-6.46 |
| Popis: | Objective. To estimate the efficacy of roentgenendovascular interventions in massive arosive hemorrhage in patients with an acute destructive pancreatitis. Materials and metods. Roentgenendovascular interventions were performed in 9 patients, in whom massive arosive hemorrhage as complication of acute destructive pancreatitis have occurred. Results. In immediate term the hemorrhage have finished in all 9 (100%) patients. On the second day in 2 patients, to whom embolization of a. hepatis propria was performed, the hemorrhage recurrence have occurred. Secondary angiography and the embolizations attemps were not effective, both women-patients died. In the patients, in whom embolization of pancreatico-duodenal and splenic arteries was done, the hemorrhage did not recurred. Thus, we obtained good results - of 9 patients 7 (77.8%) were curated, not depending on their status severity and unfavorable prognosis. Conclusion. Following a tactics adduced in treatment of hemorrhage in acute destructive pancreatitis it have demonstrated a high efficacy, especially in superselective embolization with the hemorrhage origin revealing. |
| Databáze: | Directory of Open Access Journals |
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