Major gastrointestinal hemorrhage from peripancreatic blood vessels in pancreatitis - Treatment by embolotherapy

Michael L. steckman, Mark C. Dooley, Paul F. Jaques, Don W. Powell

Research output: Contribution to journalArticle

68 Citations (Scopus)

Abstract

Seven cases of gastrointestinal bleeding originating from peripancreatic blood vessels seen between 1977 and 1982 are presented. The bleeding originated either from true aneurysms, formed when the pancreatic inflammatory processes weaken the walls of peripancreatic blood vessels, from pseudoaneurysms which occurred after vascular leakage into pancreatic pseudocyst, or from veins. Gastrointestinal bleeding occurs when these entities rupture into gastrointestinal viscera. Hemorrhage of this nature must be considered in the clinical setting of patients who have a history of alcoholism, chronic relapsing pancreatitis, and known pseudocysts. Endoscopy, bleeding scans, and barium contrast studies are only occasionally helpful in diagnosis. Selective visceral angiography during acute hemorrhage is often diagnostic and concomitant arterial embolization techniques may offer a temporizing or permanent modality for hemostasis. This technique may be especially useful in the unstable, acutely ill patient with alcoholic hepatitis, sepsis, or an immature pseudocyst who poses a poor operative risk.

Original languageEnglish (US)
Pages (from-to)486-497
Number of pages12
JournalDigestive Diseases and Sciences
Volume29
Issue number6
DOIs
StatePublished - Jun 1984
Externally publishedYes

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Therapeutic Embolization
Gastrointestinal Hemorrhage
Pancreatitis
Blood Vessels
Hemorrhage
Therapeutics
Alcoholic Hepatitis
Pancreatic Pseudocyst
Viscera
False Aneurysm
Chronic Pancreatitis
Barium
Hemostasis
Alcoholism
Endoscopy
Aneurysm
Rupture
Veins
Sepsis
Angiography

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Major gastrointestinal hemorrhage from peripancreatic blood vessels in pancreatitis - Treatment by embolotherapy. / steckman, Michael L.; Dooley, Mark C.; Jaques, Paul F.; Powell, Don W.

In: Digestive Diseases and Sciences, Vol. 29, No. 6, 06.1984, p. 486-497.

Research output: Contribution to journalArticle

steckman, Michael L. ; Dooley, Mark C. ; Jaques, Paul F. ; Powell, Don W. / Major gastrointestinal hemorrhage from peripancreatic blood vessels in pancreatitis - Treatment by embolotherapy. In: Digestive Diseases and Sciences. 1984 ; Vol. 29, No. 6. pp. 486-497.
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