Balladur P, Christophe M, Tiret E, Parc R
Department of Digestive Surgery, Hopital Saint-Antoine Paris, France.
Hepatogastroenterology. 1996 Jan-Feb;43(7):268-70.
BACKGROUND/AIM: The purpose of this study was to determine the characteristics of bleeding of the pancreatic stump after pancreatoduodenal resection with pancreatojejunal anastomosis.
Between February 1970 and December 1990, 223 patients underwent a Whipple resection for cancer.
Twenty patients (9%) had post-operative hemorrhage. In 10 patients bleeding arose within the operative field and in the 10 later within the gastrointestinal tract. Six patients bled from the gastroenterostomy and 4 (1.7%) from the pancreatic cut surface. In all four severity of the hemorrhage required urgent relaparotomy.
Diagnosis and hemostasis could be achieved through a jejunostomy near the pancreatic anastomosis. Two patients had pancreatic fistula,one of them died.
