Endovascular treatment of pancreatitis-related gastrointestinal bleeding

Author: Seung Yeon NOH ¹ ; Ji Hoon SHIN
Author Information

1. Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jhshin@amc.seoul.kr
Publication Type:Review
Keywords: Embolization, therapeutic; Endovascular procedures; Hemorrhage; Pancreatitis; Pseudoaneurysm
MeSH: Aneurysm, False; Angiography, Digital Subtraction; Cyanoacrylates; Embolization, Therapeutic; Endovascular Procedures; Extravasation of Diagnostic and Therapeutic Materials; Gelatin; Hematoma; Hemorrhage; Pancreatitis; Phenobarbital; Porifera; Rupture; Stents; Thrombin
From:Gastrointestinal Intervention 2018;7(3):162-166
CountryRepublic of Korea
Language:English
Abstract: Hemorrhage following pancreatitis may become complicated during the disease course and with possibly fatal consequences. Radiologic findings are as follows: the presence of hematomas, hemorrhagic pseudocysts, extravasation of contrast media or the formation of arterial pseudoaneurysms. The digital subtraction angiography findings are as follows: contrast extravasation due to arterial rupture; pseudoaneurysm formation; and luminal irregularity. A pseudoaneurysm is considered to be treated as soon as detected due to its risk of rupture. Endovascular management, which includes embolization using coils, N-butyl cyanoacrylate, gelatin sponge, stents, and thrombin, is an effective option for the treatment for pancreatitis-related bleeding.