Use of an occlusion balloon catheter during laparotomy for control of postoperative bleeding after pancreatoduodenectomy.
Pancreatoduodenectomy has become safer, but postoperative complications, including life-threatening intraperitoneal bleeding, are still relatively common. We recently treated intraperitoneal bleeding after pancreatoduodenectomy by performing a laparotomy in conjunction with the use of a large occlusion balloon catheter. Angiography had failed to identify the site of bleeding in this patient. Our experience suggests that using a large occlusion balloon catheter to control bleeding effectively maintains an adequate surgical field in patients requiring laparotomy for hemostasis.
Hoshino
Isamu
I
Department of Gastroenterological Surgery, Chiba Cancer Center, 666-2 Nitonacho, Chuo-ku, Japan.
Yamamoto
Hiroshi
H
Tasaki
Kentaro
K
Watanabe
Kazuo
K
Tohma
Takayuki
T
Okazumi
Shinichi
S
D021721:Balloon Occlusion / Q000295:instrumentation*; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy; D019106:Postoperative Hemorrhage / Q000517:prevention & control*