title: Use of an occlusion balloon catheter during laparotomy for control of postoperative bleeding after pancreatoduodenectomy.
abstract: 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.
authors.affiliation: Department of Gastroenterological Surgery, Chiba Cancer Center, 666-2 Nitonacho, Chuo-ku, Japan.
authors.forename: Isamu
authors.initials: I
authors.lastname: Hoshino
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Kentaro
authors.initials: K
authors.lastname: Tasaki
authors.forename: Kazuo
authors.initials: K
authors.lastname: Watanabe
authors.forename: Takayuki
authors.initials: T
authors.lastname: Tohma
authors.forename: Shinichi
authors.initials: S
authors.lastname: Okazumi
mesh_terms: D021721:Balloon Occlusion / Q000295:instrumentation*; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy; D019106:Postoperative Hemorrhage / Q000517:prevention & control*