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| تعداد نشریات | 279 |
| تعداد نشریات سازمان | 78 |
| تعداد شماره‌ها | 2,220 |
| تعداد مقالات | 25,673 |
| تعداد مشاهده مقاله | 13,947,815 |
| تعداد دریافت فایل اصل مقاله | 11,184,142 |
Possibilities of endovascular hemostasis in treatment of pancreatogenic bleeding | ||
| Archives of Razi Institute | ||
| مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 18 آبان 1400 | ||
| نوع مقاله: Original Articles | ||
| شناسه دیجیتال (DOI): 10.22092/ari.2021.356560.1871 | ||
| نویسندگان | ||
Olga A. Efremova  1؛ Andrey D. Kiselev2؛ Stepan L. Brukh1؛ Sergei S. Lugovskoi3؛ Kirill G. Maslov3؛ Igor B. Kovalenko1؛ Andrey L. Iarosh1؛ Edrees Alkanany1
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| 1Belgorod State University | ||
| 2Arkhangelsk Regional Clinical Hospital, | ||
| 3Belgorod Regional Clinical Hospital n.a. St.Ioasaf | ||
| چکیده | ||
| Pancreatogenic hemorrhage (PB) 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 endovascular homeostasis in the treatment of patients with pancreatogenic hemorrhage. A retrospective multicenter study consisting of 45 patients consisting of 33 men and 12 women, aged 27-84 years. More than 50% (23 patients) had a diagnosis of chronic pancreatitis. Eleven patients with acute necrotizing pancreatitis and 11 others showed malignant pancreatic lesions. Mostly acute bleeding was observed in 39 patients (86.6%) and 6 patients (13.3%) showed chronic symptoms. Single-shot bleeding was recorded in 22 patients (48.9%), and recurrent bleeding was recorded in 23 patients (51.1%). Fifty-seven patients underwent endovascular surgery. Forty-five patients underwent primary surgery and another 12 patients underwent reoperation due to recurrent bleeding. Intraoperative complications occurred in 1 patient (2.2%), and postoperative complications occurred in 1 patient (2.2%). Of 45 patients, 7 patients had 15 episodes of recurrent bleeding, of which 4 patients showed recurrent bleeding at the in-hospital period, and the other 3 were on local supervision after the previous endovascular intervention. Of the 45 patients, 35 survived (77.7%), and another 10 (22.2%) died, with 8 due to multiple organ failure and 2 due to recurrent bleeding and hemorrhagic shock. Out of 10 patients, four patients showed malignant pancreatic lesions after surgery, three patients showed acute pancreatitis, and 3 patients showed chronic pancreatitis. Endovascular hemostatic interventions can significantly increase the survival rate in such severe groups of patients with pancreatogenic bleeding. Endovascular hemostasis is a safe procedure and may be called “method of choice” in the treatment of pancreatogenic bleeding especially if it is combined with percutaneous draining, aspiration, and injection of liquid embolic agents into leakage of pancreatic juice. | ||
| کلیدواژه‌ها | ||
| Pancreatogenic bleeding؛ Embolization coils؛ Liquid embolic agents؛ Stent-grafts؛ Acute necrotising pancreatitis | ||
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آمار تعداد مشاهده مقاله: 13 |
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