اخبار و اعلانات

 آمار

تعداد نشریات284
تعداد نشریات سازمان82
تعداد شماره‌ها3,038
تعداد مقالات33,991
تعداد مشاهده مقاله45,938,488
تعداد دریافت فایل اصل مقاله77,248,426
Kapranov, M. S, Kiselev, A. D, Brukh, S. L, Lugovskoi, S. S, Maslov, K. G, Kovalenko, I. B, Iarosh, A. L, Alkanany, E. (1400). Possibilities of Endovascular Hemostasis in Treatment of Pancreatic Bleeding. سامانه مدیریت نشریات علمی, 77(1), 375-381. doi: 10.22092/ari.2021.356560.1871
M. S Kapranov; A. D Kiselev; S. L Brukh; S. S Lugovskoi; K. G Maslov; I. B Kovalenko; A. L Iarosh; E Alkanany. "Possibilities of Endovascular Hemostasis in Treatment of Pancreatic Bleeding". سامانه مدیریت نشریات علمی, 77, 1, 1400, 375-381. doi: 10.22092/ari.2021.356560.1871
Kapranov, M. S, Kiselev, A. D, Brukh, S. L, Lugovskoi, S. S, Maslov, K. G, Kovalenko, I. B, Iarosh, A. L, Alkanany, E. (1400). 'Possibilities of Endovascular Hemostasis in Treatment of Pancreatic Bleeding', سامانه مدیریت نشریات علمی, 77(1), pp. 375-381. doi: 10.22092/ari.2021.356560.1871
Kapranov, M. S, Kiselev, A. D, Brukh, S. L, Lugovskoi, S. S, Maslov, K. G, Kovalenko, I. B, Iarosh, A. L, Alkanany, E. Possibilities of Endovascular Hemostasis in Treatment of Pancreatic Bleeding. سامانه مدیریت نشریات علمی, 1400; 77(1): 375-381. doi: 10.22092/ari.2021.356560.1871

Possibilities of Endovascular Hemostasis in Treatment of Pancreatic Bleeding

Archives of Razi Institute
مقاله 47، دوره 77، شماره 1، فروردین و اردیبهشت 2022، صفحه 375-381    اصل مقاله (527.21 K)
نوع مقاله: Original Articles
شناسه دیجیتال (DOI): 10.22092/ari.2021.356560.1871
نویسندگان
M. S Kapranov* 1؛ A. D Kiselev2؛ S. L Brukh3؛ S. S Lugovskoi4؛ K. G Maslov4؛ I. B Kovalenko1؛ A. L Iarosh1؛ E Alkanany1
1Chair of Hospital Surgery, Belgorod State University, Belgorod, Russian Federation
2Interventional Radiologist, Department of Interventional Radiology, Arkhangelsk Regional Clinical Hospital, Arkhangelsk, Russian Federation
3Interventional Radiologist, Department of Interventional Radiology, Moscow, Russian Federation
4Interventional Radiologist, Department of Interventional Radiology, Belgorod Regional Clinical Hospital, Belgorod, Russian Federation
چکیده
Pancreatic hemorrhage is one of the most severe complications of various pancreatic diseases that are difficult to treat even in multidisciplinary hospitals. Mortality from pancreatic hemorrhage can reach up to 80%. This study aimed to evaluate the possibility of maintaining endovascular homeostasis in the treatment of patients with pancreatic hemorrhage. This retrospective multicenter study included 45 patients (33 men and 12 women) in the age range of 27-84 years. More than 50% (n=23) of the patients were diagnosed with chronic pancreatitis. Malignant pancreatic lesions were observed in 22 patients; of whom11 patients had acute necrotizing pancreatitis. Acute bleeding was observed in 39 (86.6%) patients, and 6 (13.3%) patients showed chronic symptoms. Single-shot and recurrent bleeding was recorded in 22(48.9%) and 23 (51.1%) patients. In total, 57 patients underwent endovascular surgery. Moreover, 45 patients underwent primary surgery and another 12 (2.2%) underwent reoperation due to recurrent bleeding. Intraoperative complications occurred in 1 (2.2%) patient, and postoperative complications occurred in another. Out of all 45 patients, seven patients had 15 episodes of recurrent bleeding, of whom four patients showed recurrent bleeding at the in-hospital period, and the other three were under local supervision after the previous endovascular intervention. Out of the 45 patients, 35 (77.7%) survived and another 10 (22.2%) died due to multiple organ failure (n=8) and recurrent bleeding and hemorrhagic shock (n=2). Out of 10 patients who died, 4, 3, and 3patients showed malignant pancreatic lesions after surgery, acute pancreatitis, and chronic pancreatitis, respectively. Endovascular hemostatic interventions can significantly increase the survival rate in severe groups of patients with pancreatic bleeding. Endovascular hemostasis is a safe procedure and may be called the “method of choice” in the treatment of pancreatic bleeding, especially in combination with percutaneous draining, aspiration, and injection of liquid embolic agents into leakage of pancreatic juice.
کلیدواژه‌ها
Acute necrotizing pancreatitis؛ chronic pancreatitis؛ Embolization coils؛ Liquid embolic agents؛ Malignancy of pancreas؛ pancreatic bleeding؛ Stent grafts
سایر فایل های مرتبط با مقاله
مراجع
  1. Peery AF, Crockett SD, Murphy CC, Lund JL, Dellon ES, Williams JL, et al. Burden and cost of gastrointestinal, liver, and pancreatic diseases in the United States: update 2018. Gastroenterology. 2019;156(1):254-72. e11.
  2. Yuan Z, Chen J, Zheng Q, Huang X-Y, Yang Z, Tang J. Heterotopic pancreas in the gastrointestinal tract. World J Gastroenterol. 2009;15(29):3701.
  3. NYu K, Artem’yeva N, Zelenin V, Kashintsev A, Petrik S, Glebova A, et al. Treatment of chronic pancreatitis, complicated by bleeding. Annaly Khirurgicheskoy Gepatologii= Ann. HPB Surg. 2017;22(2):20-9.
  4. Wang G-J, Gao C-F, Wei D, Wang C, Ding S-Q. Acute pancreatitis: etiology and common pathogenesis. World J Gastroenterol. 2009;15(12):1427.
  5. Roberts SE, Morrison-Rees S, John A, Williams JG, Brown TH, Samuel DG. The incidence and aetiology of acute pancreatitis across Europe. Pancreatology. 2017;17(2):155-65.
  6. Frossard J-L, Pastor CM. Experimental acute pancreatitis: new insights into the pathophysiology. Front Biosci. 2002;7(1):257.
  7. Johnson A, Cluskey B, Hooshvar N, Tice D, Devin C, Kao E, et al. Significantly elevated serum lipase in pregnancy with nausea and vomiting: acute pancreatitis or hyperemesis gravidarum? Case Rep Obstet Gynecol. 2015;2015.
  8. Dickson A, Neill J, Imrie C. Hyperlipidaemia, alcohol abuse and acute pancreatitis. BJS. 1984;71(9):685-8.
  9. Lowenfels AB, Sullivan T, Fiorianti J, Maisonneuve P. The epidemiology and impact of pancreatic diseases in the United States. Curr Gastroenterol Rep.. 2005;7(2):90-5.
  10. Peery AF, Crockett SD, Barritt AS, Dellon ES, Eluri S, Gangarosa LM, et al. Burden of gastrointestinal, liver, and pancreatic diseases in the United States. Gastroenterology. 2015;149(7):1731-41. e3.
  11. Fu C-Y, Yeh C-N, Hsu J-T, Jan Y-Y, Hwang T-L. Timing of mortality in severe acute pancreatitis: experience from 643 patients. World J Gastroenterol. 2007;13(13):1966.
  12. Hornung L, Szabo FK, Kalkwarf HJ, Abu-El-Haija Increased burden of pediatric acute pancreatitis on the health care system. Pancreas. 2017;46(9):1111.
  13. Yadav D, Lowenfels AB. Trends in the epidemiology of the first attack of acute pancreatitis: a systematic review. Pancreas. 2006;33(4):323-30.
  14. Metheny N. Fluid and electrolyte balance: Jones & Bartlett Publishers; 2012.
  15. Zaheer A, Singh VK, Qureshi RO, Fishman EK. The revised Atlanta classification for acute pancreatitis: updates in imaging terminology and guidelines. Abdom Imaging. 2013;38(1):125-36.
  16. Kapranov MS, Kulikovskiy VF, Karpachev AA, Soloshenko AV, Iarosh AL, Al-Kanani ES. A Case Report of Successful Endovascular Treatment of «Sentinel Bleeding» in Patient with Adverse Anatomy. EJMCM. 2020;7(2).
  17. Neledova L, Mizgiriov D, Duberman B. Hemorrhagic complications of pancreatitis in surgical practice. Grekov's Bulletin of Surgery. 2019;178(1):55-8.
  18. Wu X, Chen G, Wu W, Zhang T, Liao Q, Dai M, et al. Management of late hemorrhage after pancreatic surgery: treatment strategy and prognosis. Int J Med Res 2020;48(6):0300060520929127.
  19. Darnis B, Lebeau R, Chopin-Laly X, Adham M. Postpancreatectomy hemorrhage (PPH): predictors and management from a prospective database. Langenbecks Arch Surg. 2013;398(3):441-8.
  20. Tarkhanov A BG, Elishev V. . Initial experience with PHIL liquid embolic agent for gastrointestinal bleeding embolization and occlusion of bowel fistula using n-BCA glue (poster). Cirse. 2019:385.
آمار
تعداد مشاهده مقاله: 1,388
تعداد دریافت فایل اصل مقاله: 2,506


counter
سامانه مدیریت نشریات علمی. طراحی و پیاده سازی از سیناوب