Outcome of interventional radiology for delayed postoperative hemorrhage in hepatobiliary and pancreatic surgery.

Journal of Gastroenterology and Hepatology
Nozomu SakaiMasayuki Ohtsuka

Abstract

Postoperative hemorrhage is a rare but potentially lethal complication of hepatobiliary and pancreatic surgeries. This study aimed to retrospectively evaluate the clinical outcome of patients with delayed postoperative hemorrhage and compare the results according to the surgical procedure. Overall, 4220 patients underwent surgery for hepatobiliary and pancreatic diseases. Delayed postoperative hemorrhage (observed more than 24 h postoperatively) occurred in 62 patients. Of these, 61 underwent interventional radiology to achieve hemostasis. Patients' clinical data were analyzed retrospectively. The chi-squared or Fisher's exact test was used in data analysis. A total of 62 patients (1.5%) developed delayed postoperative hemorrhage; 61 (1.4%) of them underwent interventional radiology to achieve hemostasis. Median duration from surgery to interventional radiology was 19 days (range: 5-252 days). Sentinel bleeding was detected in 31 patients; Clinical success was achieved in 54 patients (88.5%) by interventional radiology. Overall mortality rate was 26.2%. Causes of 16 in-hospital deaths were uncontrollable hemorrhage (n = 4) and worsening of general condition after hemostasis (n = 12). Mortality rates were 50.0% (11/22) and 12.8%...Continue Reading

References

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Nov 21, 2014·Journal of Hepato-biliary-pancreatic Sciences·Hiroyuki YoshidomeMasaru Miyazaki
Jan 28, 2016·European Radiology·Edwige PottierValérie Vilgrain
Mar 2, 2016·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·D AnsariR Andersson
Mar 5, 2016·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Sadaki AsariYonson Ku
Nov 8, 2017·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Steffen WolkMarius Distler

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