BACKGROUND/AIM: The purpose of this study was to determine the characteristics of bleeding of the pancreatic stump after pancreatoduodenal resection with pancreatojejunal anastomosis. PATIENTS AND METHODS: Between February 1970 and December 1990, 223 patients underwent a Whipple resection for cancer. RESULTS: Twenty patients (9%) had post-operative hemorrhage. In 10 patients bleeding arose within the operative field and in the 10 later within the gastrointestinal tract. Six patients bled from the gastroenterostomy and 4 (1.7%) from the pancreatic cut surface. In all four severity of the hemorrhage required urgent relaparotomy. CONCLUSIONS: Diagnosis and hemostasis could be achieved through a jejunostomy near the pancreatic anastomosis. Two patients had pancreatic fistula,one of them died.
BACKGROUND/AIM: The purpose of this study was to determine the characteristics of bleeding of the pancreatic stump after pancreatoduodenal resection with pancreatojejunal anastomosis. PATIENTS AND METHODS: Between February 1970 and December 1990, 223 patients underwent a Whipple resection for cancer. RESULTS: Twenty patients (9%) had post-operative hemorrhage. In 10 patients bleeding arose within the operative field and in the 10 later within the gastrointestinal tract. Six patients bled from the gastroenterostomy and 4 (1.7%) from the pancreatic cut surface. In all four severity of the hemorrhage required urgent relaparotomy. CONCLUSIONS: Diagnosis and hemostasis could be achieved through a jejunostomy near the pancreatic anastomosis. Two patients had pancreatic fistula,one of them died.
Authors: Somaiah Aroori; Puneet Puneet; Simon R Bramhall; Paolo Muiesan; A David Mayer; Darius F Mirza; John C Buckels; John Isaac Journal: HPB (Oxford) Date: 2011-10 Impact factor: 3.647
Authors: Emre F Yekebas; Lars Wolfram; Guellue Cataldegirmen; Christian R Habermann; Dean Bogoevski; Alexandra M Koenig; Jussuf Kaifi; Paulus G Schurr; Michael Bubenheim; Claus Nolte-Ernsting; Gerhard Adam; Jakob R Izbicki Journal: Ann Surg Date: 2007-08 Impact factor: 12.969