Experience in diagnosis and treatment of bleeding complications in severe acute pancreatitis by TAE.
- Author:
Feng, ZHOU
;
Chunyou, WANG
;
Jiongxin, XIONG
;
Chidan, WAN
;
Chuansheng, ZHENG
- Publication Type:Journal Article
- MeSH:
Aneurysm, False/diagnosis;
Aneurysm, False/etiology;
Aneurysm, False/therapy;
*Embolization, Therapeutic/methods;
Hemoperitoneum/diagnosis;
Hemoperitoneum/etiology;
Hemoperitoneum/*therapy;
Pancreatic Pseudocyst/diagnosis;
Pancreatic Pseudocyst/etiology;
Pancreatic Pseudocyst/therapy;
Pancreatitis, Acute Necrotizing/*complications;
Pancreatitis, Acute Necrotizing/therapy;
Retrospective Studies
- From:
Journal of Huazhong University of Science and Technology (Medical Sciences)
2005;25(2):182-4
- CountryChina
- Language:English
-
Abstract:
The experience in diagnosis and treatment of bleeding complications in severe acute pancreatitis (SAP) by transcatheter arterial embolization was summarized. The clinical data of 19 SAP patients complicated with intra-abdominal bleeding in our hospital from Jan. 2000 to Jan. 2003 were analyzed retrospectively and the therapeutic outcome of TAE was evaluated statistically. The results showed that the short-term successful rate of hemostasis by TAE was 89.5% (17/19), the incidence of re-bleeding after TAE was 36.8% (7/19) and the successful rate of hemostatis by second TAE was 71.4% (5/7). It was concluded that the intra-abdominal bleeding in SAP was mainly caused by the rupture of erosive/infected pseudoaneurysm. Mostly, the broken vessels were splenic artery and gastroduodenal artery; In terms of emergence hemostatis, TAE is the most effective method. Surgical hemostasis is necessary if hemostasis by TAE is failed or re-bleeding occurs after TAE.
