PMID: 2575252May 1, 1989Paper

Use of somatostatin in the management of pancreatic haemobilia

Postgraduate Medical Journal
M V TobinI T Gilmore

Abstract

An elderly man, not previously known to have chronic pancreatitis, presented with haematemesis and melaena which was endoscopically diagnosed as haemobilia. Retrograde cholangiopancreatography showed blood clot in both the common bile duct and the pancreatic duct and the computed tomographic scan appearances were those of gross calcific chronic pancreatitis. Despite active bleeding, it was not possible to demonstrate its source at angiography, thus precluding therapeutic embolization. Thirty six hours after commencing an infusion of somatostatin, repeat endoscopy showed no evidence of active or recent bleeding. The infusion was continued for 5 days during which time he had no further bleeding.

References

May 1, 1979·Acta Pathologica Japonica·K Suda, K Hashimoto
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Aug 1, 1979·Digestive Diseases and Sciences·J L Staub, H Sarles
Jan 1, 1976·Hormone and Metabolic Research = Hormon- Und Stoffwechselforschung = Hormones Et Métabolisme·H C DollingerE F Pfeiffer
Feb 1, 1974·The American Journal of Digestive Diseases·B B BrintnallJ P Papp
Aug 1, 1974·American Journal of Surgery·L M SchecterE Passaro

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Citations

Apr 29, 2010·Current Gastroenterology Reports·Marcus W Chin, Robert Enns
Jun 20, 2001·The British Journal of Surgery·M H GreenN V Jamieson
Feb 7, 1994·Quality in Health Care : QHC·R ClearyI Wickings

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