Endovascular treatment of pancreatitis-related gastrointestinal bleeding

Hemorrhage following pancreatitis may become complicated during the disease course and with possibly fatal consequences. Radiologic findings are as follows: the presence of hematomas, hemorrhagic pseudocysts, extravasation of contrast media or the formation of arterial pseudoaneurysms. The digital subtraction angiography findings are as follows: contrast extravasation due to arterial rupture; pseudoaneurysm formation; and luminal irregularity. A pseudoaneurysm is considered to be treated as soon as detected due to its risk of rupture. Endovascular management, which includes embolization using coils, N-butyl cyanoacrylate, gelatin sponge, stents, and thrombin, is an effective option for the treatment for pancreatitis-related bleeding. Copyright © 2018, Society of Gastrointestinal Intervention.

• Publication year

  2018

• Venue

  Gastrointestinal Intervention

• Publication date

  2018-10-31

• Fields of study

  Medicine

• Identifiers
  DOI 10.18528/GII180032
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

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• Endovascular intervention for management of pancreatitis-related bleeding: a retrospective analysis of thirty-seven patients at a single institution.

  2015influential reference
• Endoscopic ultrasound guided thrombin injection of angiographically occult pancreatitis associated visceral artery pseudoaneurysms: Case series.

  2015cited by this paper
• Percutaneous thrombin embolization of a pancreatico-duodenal artery pseudoaneurysm after failing of the endovascular treatment.

  2014cited by this paper
• N-butyl cyanoacrylate embolization for pseudoaneurysms complicating pancreatitis or pancreatectomy.

  2011influential reference
• Is open repair still the gold standard in visceral artery aneurysm management?

  2011cited by this paper
• Selective embolization for bleeding visceral artery pseudoaneurysms in patients with pancreatitis.

  2010cited by this paper
• Transcatheter embolization of a pancreatic pseudoaneurysm using a new liquid embolic agent, ethylene vinyl alcohol copolymer (onyx).

  2009cited by this paper
• Hemorrhage in Acute Pancreatitis: Should Gastrointestinal Bleeding Be Considered an Organ Failure?

  2008cited by this paper
• Address Reprint Requests To

  2007cited by this paper
• Endovascular management of major arterial hemorrhage as a complication of inflammatory pancreatic disease.

  2007cited by this paper
• Percutaneous Ultrasound-Guided Thrombin Injection as First-Line Treatment of Pancreatic Pseudoaneurysm

  2007cited by this paper
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  2007cited by this paper
• CT-Guided Percutaneous Thrombin Injection for Treatment of an Inferior Pancreaticoduodenal Artery Pseudoaneurysm

  2006cited by this paper
• Management and outcome of hemorrhage due to arterial pseudoaneurysms in pancreatitis.

  2005cited by this paper
• CT and fluoroscopically guided percutaneous embolization treatment of a pseudoaneurysm associated with pancreatitis.

  2005cited by this paper
• N-butyl cyanoacrylate embolization for control of acute arterial hemorrhage.

  2004cited by this paper
• Percutaneous thrombin injection for the treatment of a post-pancreatitis pseudoaneurysm of the gastroduodenal artery

  2004cited by this paper
• Potentially Fatal Bleeding in Acute Pancreatitis: Pathophysiology, Prevention, and Treatment

  2003influential reference
• Nonsurgical management of ruptured pseudoaneurysm in patients with hepatobiliary pancreatic diseases

  2001cited by this paper
• Vascular Complications in Acute Pancreatitis Assessed by Color Duplex Ultrasonography

  2000cited by this paper
• Complications after surgery for necrotising pancreatitis: risk factors and prognosis.

  1999cited by this paper
• Estimation of usefulness of N‐butyl‐2‐cyanoacrylate‐lipiodol mixture in transcatheter arterial embolization for urgent control of life‐threatening massive bleeding from gastric or duodenal ulcer

  1996cited by this paper
• Arterial complications of pancreatitis: diagnostic and therapeutic aspects in 104 cases.

  1993cited by this paper
• Fatal pancreatitis. A study of 64 consecutive cases.

  1986cited by this paper
• Gastrointestinal hemorrhage from left-sided portal hypertension. An unappreciated complication of pancreatitis.

  1981cited by this paper
• Diaphragm movements and the diagnosis of diaphragmatic paralysis.

  1966cited by this paper
• Death due to delayed hemorrhage in acute pancreatitis.

  1955cited by this paper

• Comprehensive Review of Surgical and Radiological Management of Hemorrhagic Pancreatitis: Current Strategies and Outcomes

  2024cites this paper