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Updated: May 12, 2026

Application of Simplified Stent-bridging Pancreaticogastrostomy in Open Pancreaticoduodenectomy
Published on: March 17, 2026
[Angiographic findings and interventional therapy for post-pancreaticoduodenectomy hemorrhage]
Hai-feng Xu1, Xu Zhu, Hui Chen
1Department of Interventional Therapy, Peking University Cancer Hospital & Institute, Beijing, China.
Insights
Interventional therapy, including embolization, is a safe and effective treatment for post-pancreaticoduodenectomy hemorrhage. Angiography aids in diagnosis, with high success rates for controlling bleeding after this major surgery.
Area of Science:
- Interventional Radiology
- Surgical Oncology
- Gastroenterology
Background:
- Post-pancreaticoduodenectomy hemorrhage is a serious complication.
- Early diagnosis and effective treatment are crucial for patient outcomes.
Purpose of the Study:
- To evaluate angiographic findings.
- To assess the safety and efficacy of interventional therapy for bleeding after pancreaticoduodenectomy.
Main Methods:
- Retrospective analysis of 29 patients with post-pancreaticoduodenectomy bleeding (August 2009 - June 2012).
- Review of clinical data, angiographic features, and interventional treatment outcomes.
Main Results:
- Hemorrhage occurred between 8 hours and 72 days post-surgery.
- Angiographic findings included contrast extravasation and pseudoaneurysms.
- Interventional techniques achieved a 93.94% success rate and 90% hemostatic rate, with 3 deaths.
Conclusions:
- Embolization therapy is a safe and effective first-line option.
- Interventional radiology plays a vital role in managing post-surgical bleeding.
- This approach offers high success rates in controlling hemorrhage after pancreaticoduodenectomy.
Objective:
To discuss the angiographic findings and the safety and efficacy of interventional therapy for post-pancreaticoduodenectomy hemorrhage.
Methods:
The clinical data, features of angiography, interventional treatment technology and prognosis of 29 patients underwent post-pancreaticoduodenectomy bleeding between August 2009 and June 2012 were retrospectively analyzed in our hospital.
Results:
In all 29 patients, 6 cases underwent gastrointestinal bleeding, 21 cases of abdominal bleeding, 2 cases had abdominal cavity and gastrointestinal bleeding, hemorrhage occurred 8 h - 72 d after surgery. Angiographic findings including: extravasation of contrast media, and pseudo aneurysm formation, local arterial intima not smooth, stenosis, distal artery branch expansion. The success rate of interventional techniques was 93.94%, hemostatic rate was 90%. 3 cases died.
Conclusion:
The embolization therapy is a safe and effective technique, should be as the first-line diagnostic and treatment choice for patients with post-pancreaticoduodenectomy bleeding.
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