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Pseudocysts and pseudoaneurysms: surgical strategy
J S Bender1, D L Bouwman, M A Levison
1Department of Surgery, Wayne State University, Detroit, Michigan, USA.
Pancreas
|March 1, 1995
Summary
Hemorrhage from pancreatic pseudocysts requires prompt surgical intervention. Delayed operations increase rebleeding risk, while pancreatic resection offers definitive control for bleeding pseudocysts.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Pancreatic pseudocysts can lead to spontaneous hemorrhage, a serious complication.
- Hemorrhage can manifest as abdominal pain, jaundice, or gastrointestinal bleeding.
Purpose of the Study:
- To evaluate surgical management outcomes for spontaneous hemorrhage from pancreatic pseudocysts.
- To emphasize the importance of timely intervention in managing this condition.
Main Methods:
- Retrospective review of eight patients undergoing surgery for bleeding pancreatic pseudocysts over eight years.
- Analysis of management strategies including pancreatic resection, arterial ligation, and internal drainage.
Main Results:
- One death occurred, resulting in a 12.5% mortality rate.
- Delayed surgical intervention in the initial patients led to rebleeding and emergency operations.
- Expedited workup and operation in later patients improved outcomes.
Conclusions:
- Successful treatment of bleeding pancreatic pseudocysts necessitates prompt surgical intervention.
- Pancreatic resection provides definitive hemorrhage control.
- Arterial ligation with drainage may be a viable conservative option for selected cases.