Causes and treatment for delayed hemorrhage after distal radical gastrectomy

VernacularTitle:远端胃癌根治术后迟发性出血原因与处理
Author: Yuqi LUO ; Bo XU ; Minjie WEN ; Haitao YU ; Dong DONG
Publication Type:Journal Article
Keywords: Distal radical gastrectomy; Postoperative hemorrhage,delayed; Aneurysm,false; Hemorrhage,stomas
From: International Journal of Surgery 2014;41(1):6-9,封3
CountryChina
Language:Chinese
Abstract: Objective Analyse the causes,diagnosis and treatment for delayed hemorrhage after distal radical gastrectomy.Methods Retrospective study on 45 patients combined with intro-abdominal hemorrhage after distal radical gastrectomy from January 2008 to June 2013.Results Thirteen patients combined with delayed hemorrhage in these 45 patients,all of 13 patients had intro-abdominal hemorrhage in 1week to 4 weeks after operation.And 5 of the 13 patiens were intermittent intro-abdominal hemorrhage 1 week after operation,these patients were demonstrated the blood come from gastroduodenal artery pseudoaneurysm fracture by CT and DSA examine,and they were cured by interventional embolization.Other 8 patients were marginal ulcer hemorrhage diagnosed by gastroscope,and they stoped bleeding with the help of gastroscope.Conclusions The causes of delayed hemorrhage after distal radical gastrectomy were complicated,and CT,DSA and endoscope can use for diagnosis.What was more,interventional embolization and endoscope were helpful for curing the intro-abdominal hemorrhage,avoiding re-operation.