George Ashish, Panwar Rajesh, Pal Sujoy
a Department of Gastrointestinal Surgery & Liver Transplantation , All India Institute of Medical Sciences , New Delhi 110029 , India.
J Invest Surg. 2018 Dec;31(6):503-508. doi: 10.1080/08941939.2017.1362081. Epub 2017 Sep 25.
Postprocedural bleeding is a rare but life threatening complication of endoscopic cystogastrostomy which may require surgical management in some patients. The presence of adhesions and inflammation due to antecedent acute pancreatitis, difficult location of the bleeding site and breach in the posterior wall of stomach pose significant challenges during the surgical management. Here we have described the surgical approach and technique that we used to manage three patients who required surgery for life threatening bleeding after endoscopic cystogastrostomy.
术后出血是内镜下囊肿胃造口术罕见但危及生命的并发症，部分患者可能需要手术治疗。既往急性胰腺炎导致的粘连和炎症、出血部位定位困难以及胃后壁穿孔，给手术治疗带来了重大挑战。在此，我们描述了用于治疗3例内镜下囊肿胃造口术后因危及生命的出血而需要手术的患者的手术方法和技巧。
