Evidence for a central role for selective mesenteric angiography in the management of the major vascular complications of pancreatitis - 26/08/11
Abstract |
Background |
Although mesenteric angiography and embolization are established radiologic procedures, the evidence-base to aid decision making regarding selection of these procedures in the emergent situation in patients with hemorrhagic complications of pancreatitis is limited.
Methods |
A retrospective analysis of 19 patients with hemorrhagic complications of pancreatic inflammatory disease (acute pancreatitis, chronic pancreatitis, and pseudocyst) referred over a 4-year period and identified at the point of mesenteric angiography in order to determine the influence of interventional radiologic maneuvers on outcome.
Results |
Mesenteric angiography localized bleeding in 15 (79%), with 11 (58%) embolizations undertaken. There was one (9%) procedure-related complication and 3 (27%) rebleeds. Of 11 patients undergoing embolization, 8 (73%) required no further intervention for bleeding and 8 (73%) survived.
Conclusions |
Mesenteric angiography is valuable in localizing bleeding in patients with major vascular complications of pancreatic inflammatory disease. Angiographic embolization can achieve definitive hemostasis and stabilize a critically ill patient to permit disease reappraisal.
Le texte complet de cet article est disponible en PDF.Keywords : Hemorrhage, Pancreatitis, Aneurysm, false, Angiography, Therapeutic embolization
Plan
Vol 185 - N° 2
P. 96-102 - février 2003 Retour au numéro
Article précédent
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