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Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
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Related Experiment Video

Updated: Nov 21, 2025

Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions
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Hemosuccus Pancreaticus: A systematic approach.

H S Yashavanth1, Nitin Jagtap1, Jagadeesh Rampal Singh2

  • 1Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.

Journal of Gastroenterology and Hepatology
|January 14, 2021
PubMed
Summary

Early diagnosis of hemosuccus pancreaticus, a rare cause of upper GI bleeding, is crucial. Angioembolization is the preferred treatment, offering high success rates and avoiding prolonged patient suffering.

Keywords:
aneurysmangioembolizationgastroenterologyhemosuccushemosuccus pancreaticusnonvaricealsantorinirrhageside-view endoscopyupper gastrointestinal bleeding

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Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Diagnostic Imaging

Background:

  • Hemosuccus pancreaticus is a rare cause of upper gastrointestinal bleeding.
  • Delayed diagnosis is common due to intermittent bleeding and lack of standardized diagnostic approaches.
  • It can occur without an obvious aneurysm.

Purpose of the Study:

  • To analyze the diagnostic and therapeutic outcomes for patients with suspected hemosuccus pancreaticus.
  • To identify common causes and effective management strategies.
  • To emphasize the importance of early diagnosis.

Main Methods:

  • Retrospective analysis of prospectively maintained data from January 2010 to December 2019.
  • Inclusion of patients with suspected hemosuccus pancreaticus.
  • Review of diagnostic methods (endoscopy, angiography) and therapeutic interventions (angioembolization, surgery).

Main Results:

  • 87 out of 114 patients were diagnosed with hemosuccus pancreaticus (mean age 35.7 years, 89.7% male).
  • Median bleeding duration before diagnosis was 10 days; visceral artery aneurysms, particularly splenic artery aneurysms (37.9%), were the most common cause.
  • Endoscopic diagnosis achieved in 64.4%, angiogram localization in 94.2%. Angioembolization success rate was 95.9% in 56.3% of patients.

Conclusions:

  • Early diagnosis of hemosuccus pancreaticus reduces patient suffering, hospital admissions, and transfusions.
  • Endoscopic yield improves with repeated examinations in high-suspicion cases.
  • Angioembolization is the preferred first-line therapy.