title: Management of delayed arterial hemorrhage after pancreaticoduodenectomy. A case series.
abstract: CONTEXT Delayed arterial hemorrhage is a rare complication after pancreaticoduodenectomy (frequency 2-4%) but carries a high mortality, with up to a third of patients dying as a consequence. Its ideal management remains unclear.
  
  
  METHODS
  Between 1993 and 2007, 317 head of pancreas resections were performed at our institution; there were 5 cases of delayed arterial hemorrhage (frequency 1.6%).
  
  
  CONCLUSIONS
  This paper presents our experience in the management of delayed arterial haemorrhage post pancreaticoduodenecomy and discusses the role of angiograms, endoscopy and laparotomy in its management.
authors.affiliation: HPB Unit, Department of BioSurgery and Surgical Technology, Hammersmith Hospital. London, England.
authors.forename: Shirin E
authors.initials: SE
authors.lastname: Khorsandi
authors.forename: Paolo
authors.initials: P
authors.lastname: Limongelli
authors.forename: James E
authors.initials: JE
authors.lastname: Jackson
authors.forename: Paul
authors.initials: P
authors.lastname: Tait
authors.forename: Robin C
authors.initials: RC
authors.lastname: Williamson
authors.forename: Nagy A
authors.initials: NA
authors.lastname: Habib
authors.forename: Long R
authors.initials: LR
authors.lastname: Jiao
mesh_terms: D000368:Aged; D000792:Angiography; D001158:Arteries / Q000293:injuries*; D016145:Endoscopy, Digestive System; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D015641:Radiography, Interventional