| Arterial erosions in acute pancreatitis. | |
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MedLine Citation:
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PMID: 11758107 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acute pancreatitis was observed in 492 patients. Fourteen (2.8%) developed an arterial erosion revealed by a haemorrhage either in the digestive lumen, in the peritoneum or via previously placed drainage. The eroded artery was the splenic artery in six patients, a pancreatico-duodenal artery in five patients. An initial haemostasis was attempted by: a) embolization in four patients: one died; the three others had bleeding recurrence. b) splenocorporeal pancreatectomy in four patients, three had bleeding recurrence. c) arterial ligature in four patients: three had bleeding recurrence. Secondary haemostatic procedures were performed in ten patients but a durable haemostasis was achieved in only five patients: two had a pancreatic resection and three were treated by a redo-binding. It is noteworthy that durable haemostasis could not be obtained neither by embolization nor by ligature in necrotic tissues. This could explain the difference in the results of arterial erosion treatments in chronic and in acute pancreatitis. Therefore, it is suggested that haemostatic procedures should be performed away from necrotic tissues, or eventually done after their removal. |
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Authors:
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J Testart; L Boyet; G Perrier; E Clavier; C Peillon |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta chirurgica Belgica Volume: 101 ISSN: 0001-5458 ISO Abbreviation: Acta Chir. Belg. Publication Date: 2001 Sep-Oct |
Date Detail:
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Created Date: 2001-12-07 Completed Date: 2002-03-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370571 Medline TA: Acta Chir Belg Country: Belgium |
Other Details:
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Languages: eng Pagination: 232-7; discussion 237-9 Citation Subset: IM |
Affiliation:
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Clinique Chirurgicale, Service Pr. Watelet, CHU de Rouen, 1 rue de Germont, 76031 Rouen. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Angiography Duodenum / blood supply*, injuries*, radiography Embolization, Therapeutic* Endoscopy, Digestive System Female Hemorrhage / diagnosis, etiology*, therapy* Hemostatic Techniques Humans Male Middle Aged Pancreas / blood supply*, injuries*, radiography Pancreatitis, Acute Necrotizing / complications*, therapy* Retrospective Studies Rupture, Spontaneous / diagnosis, etiology, therapy Splenic Artery / injuries*, pathology, radiography Tomography, X-Ray Computed |
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