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Hemorrhagic complications after Whipple surgery: imaging and radiologic intervention
Sapna Puppala1, Jai Patel, Simon McPherson
1Department of Radiology, Leeds Teaching Hospital NHS Trust, Great George St., Leeds, West Yorkshire LS1 3EX, United Kingdom.
Objective:
The aim of this pictorial essay is to illustrate the radiologic patterns, sites of bleeding, and vascular interventional techniques used in the management of postpancreatectomy hemorrhage.
Conclusion:
Hemorrhagic complications occur in fewer than 10% of patients after Whipple pancreatoduodenectomy but account for as many as 38% of deaths. Bleeding typically occurs from the stump of the gastroduodenal artery, but other sites of bleeding are increasingly recognized.
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