title: [Massive gastrointestinal hemorrhage from a hepaticojejunostomy in pancreatogenic mesenteric vein thrombosis. Diagnosis and therapy].
abstract: Gastrointestinal hemorrhage in a patient with a biliodigestive anastomosis necessitates exclusion of a bleeding source in the region of the choledocho- or hepaticojejunal anastomosis. This cannot be achieved by endoscopic methods. The source of bleeding can sometimes, though rarely, be localised by performance of selective angiography during hemorrhage. Laparotomy with exploration of the anastomosis during such an episode is at the same time a diagnostic and a therapeutic intervention. The surgical procedure of choice is de-anastomosis, resection of the bypassed jejunal loop and formation of a hepatico-duodenostomy.
authors.affiliation: Chirurgische Klinik und Poliklinik der Heinrich-Heine-Universität, Abteilung für Thorax- und Kardiovaskularchirurgie, Düsseldorf, BRD.
authors.forename: M
authors.initials: M
authors.lastname: Kantartzis
authors.forename: J
authors.initials: J
authors.lastname: Usmiani
authors.forename: J
authors.initials: J
authors.lastname: Lersmacher
authors.forename: K
authors.initials: K
authors.lastname: Damanakis
authors.forename: E
authors.initials: E
authors.lastname: Hoffmann
mesh_terms: D000713:Anastomosis, Roux-en-Y; D000714:Anastomosis, Surgical; D000792:Angiography; D001651:Cholestasis, Extrahepatic / Q000175:diagnosis / Q000601:surgery*; D004385:Duodenostomy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007582:Jejunostomy; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000601:surgery*; D008642:Mesenteric Veins / Q000601:surgery*; D008875:Middle Aged; D010195:Pancreatitis / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation; D013927:Thrombosis / Q000175:diagnosis / Q000601:surgery*; D014648:Varicose Veins / Q000175:diagnosis / Q000601:surgery
vernacular_title: Massive gastrointestinale Blutung aus einer Hepatikojejunostomie bei pankreatogener Mesenterialvenenthrombose. Diagnose und Therapie.