Hemorrhage complicating the course of severe acute pancreatitis.
Abdominal
Acute
Bleeding
Complication
Haemorrhage
Pancreatitis
Pseudoaneurysm
Journal
Annals of hepato-biliary-pancreatic surgery
ISSN: 2508-5859
Titre abrégé: Ann Hepatobiliary Pancreat Surg
Pays: Korea (South)
ID NLM: 101698342
Informations de publication
Date de publication:
31 Aug 2020
31 Aug 2020
Historique:
received:
02
10
2019
revised:
03
04
2020
accepted:
09
04
2020
entrez:
27
8
2020
pubmed:
28
8
2020
medline:
28
8
2020
Statut:
ppublish
Résumé
The course of severe acute pancreatitis (SAP) complicated by hemorrhage is associated with poor outcome. Twenty-four (13%) out of 183 cases of SAP had hemorrhagic complications- 12 intraabdominal & 12 intraluminal, 13 had major & 11 had minor and 16 had de-novo & 8 post-surgical bleeding. The mean duration of pancreatitis prior to bleeding was 27±27.2 days. Predictors of haemorrhage on univariate analysis were delayed admission (0.037), more than one organ failure ( Hemorrhage in SAP was associated with increased morbidity and mortality. Infected necrosis accentuated the degradation of the vessel wall, which predispose to hemorrhage. Luminal bleeding may be indicative of erosion into the adjacent viscera by the pseudoaneurysm.
Sections du résumé
BACKGROUNDS/AIMS
OBJECTIVE
The course of severe acute pancreatitis (SAP) complicated by hemorrhage is associated with poor outcome.
METHODS
METHODS
Twenty-four (13%) out of 183 cases of SAP had hemorrhagic complications- 12 intraabdominal & 12 intraluminal, 13 had major & 11 had minor and 16 had de-novo & 8 post-surgical bleeding. The mean duration of pancreatitis prior to bleeding was 27±27.2 days.
RESULTS
RESULTS
Predictors of haemorrhage on univariate analysis were delayed admission (0.037), more than one organ failure (
CONCLUSIONS
CONCLUSIONS
Hemorrhage in SAP was associated with increased morbidity and mortality. Infected necrosis accentuated the degradation of the vessel wall, which predispose to hemorrhage. Luminal bleeding may be indicative of erosion into the adjacent viscera by the pseudoaneurysm.
Identifiants
pubmed: 32843594
pii: ahbps.2020.24.3.292
doi: 10.14701/ahbps.2020.24.3.292
pmc: PMC7452791
doi:
Types de publication
Journal Article
Langues
eng
Pagination
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