title: Experience in diagnosis and treatment of bleeding complications in severe acute pancreatitis by TAE.
abstract: The experience in diagnosis and treatment of bleeding complications in severe acute pancreatitis (SAP) by transcatheter arterial embolization was summarized. The clinical data of 19 SAP patients complicated with intra-abdominal bleeding in our hospital from Jan. 2000 to Jan. 2003 were analyzed retrospectively and the therapeutic outcome of TAE was evaluated statistically. The results showed that the short-term successful rate of hemostasis by TAE was 89.5% (17/19), the incidence of re-bleeding after TAE was 36.8% (7/19) and the successful rate of hemostatis by second TAE was 71.4% (5/7). It was concluded that the intra-abdominal bleeding in SAP was mainly caused by the rupture of erosive/infected pseudoaneurysm. Mostly, the broken vessels were splenic artery and gastroduodenal artery; In terms of emergence hemostatis, TAE is the most effective method. Surgical hemostasis is necessary if hemostasis by TAE is failed or re-bleeding occurs after TAE.
authors.affiliation: Pancreas Surgery Center, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430022, China.
authors.forename: Feng
authors.initials: F
authors.lastname: Zhou
authors.forename: Chunyou
authors.initials: C
authors.lastname: Wang
authors.forename: Jiongxin
authors.initials: J
authors.lastname: Xiong
authors.forename: Chidan
authors.initials: C
authors.lastname: Wan
authors.forename: Chuansheng
authors.initials: C
authors.lastname: Zheng
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006465:Hemoperitoneum / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications* / Q000628:therapy; D012189:Retrospective Studies