Hemorrhagic complications of pancreatitis in surgical practice
https://doi.org/10.24884/0042-4625-2019-178-1-55-58
Abstract
The objective of the study was to detect the frequency and sources of hemorrhagic complications in patients with pancreatitis, evaluate the tactics and effectiveness of methods of hemostasis.
Material and methods. A retrospective analysis of hemorrhagic complications of pancreatitis was carried out in 40 patients.
Results. Bleeding developed mainly on the background of infected acute necrotic collections (77.8 %), the main source of bleeding was the splenic artery (37.0 %). Emergency laparotomy for bleeding was performed in 9 (22.5 %) patients, selective angiography was performed in 10 patients, it was effective only in 5 (50 %) cases. 12 (44.4 %) deaths were recorded in cases of arrosive bleeding.
Conclusion. The preferred tactics in case of bleeding from the retroperitoneal space during minimally invasive treatment is crossclamping of drains and endovascular hemostasis.
About the Authors
L. A. Neledova
First clinical city hospital named after E.E. Volosevich; Northern State Medical University
Russian Federation
Corresponding author: Liudmila A. Neledova, First clinical city hospital named after E. E. Volosevich, 1 Suvorova street, Arkhangelsk, Russia, 163046
Russian Federation
Corresponding author: Liudmila A. Neledova, First clinical city hospital named after E. E. Volosevich, 1 Suvorova street, Arkhangelsk, Russia, 163046
D. V. Mizgiriov
First clinical city hospital named after E.E. Volosevich; Northern State Medical University
Russian Federation
Russian Federation
Denis V. Mizgiriov
Arkhangelsk
B. L. Duberman
First clinical city hospital named after E.E. Volosevich; Northern State Medical University
Russian Federation
Russian Federation
Boris L. Duberman
Arkhangelsk
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Review
For citations:
Neledova L.A., Mizgiriov D.V., Duberman B.L. Hemorrhagic complications of pancreatitis in surgical practice. Grekov's Bulletin of Surgery. 2019;178(1):55-58. (In Russ.) https://doi.org/10.24884/0042-4625-2019-178-1-55-58
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