Possibilities of roentgenendovascular interventions in massive arosive hemorrhage on background of acute destructive pancreatitis

Objective. To estimate the efficacy of roentgenendovascular interventions in massive arosive hemorrhage in patients with an acute destructive pancreatitis. Materials and metods. Roentgenendovascular interventions were performed in 9 patients, in whom massive arosive hemorrhage as complication of...

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Main Authors: V. V. Grubnik, O. M. Zahorodniuk, Ye. A. Koichev, M. M. Chernov
Format: Article
Language:Russian
Published: Liga-Inform ltd. 2020-07-01
Series:Клінічна хірургія
Subjects:
Online Access:https://hirurgiya.com.ua/index.php/journal/article/view/825
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author V. V. Grubnik
O. M. Zahorodniuk
Ye. A. Koichev
M. M. Chernov
author_facet V. V. Grubnik
O. M. Zahorodniuk
Ye. A. Koichev
M. M. Chernov
author_sort V. V. Grubnik
collection DOAJ
description Objective. To estimate the efficacy of roentgenendovascular interventions in massive arosive hemorrhage in patients with an acute destructive pancreatitis. Materials and metods. Roentgenendovascular interventions were performed in 9 patients, in whom massive arosive hemorrhage as complication of acute destructive pancreatitis have occurred. Results. In immediate term the hemorrhage have finished in all 9 (100%) patients. On the second day in 2 patients, to whom embolization of a. hepatis propria was performed, the hemorrhage recurrence have occurred. Secondary angiography and the embolizations attemps were not effective, both women-patients died. In the patients, in whom embolization of pancreatico-duodenal and splenic arteries was done, the hemorrhage did not recurred. Thus, we obtained good results - of 9 patients 7 (77.8%) were curated, not depending on their status severity and unfavorable prognosis. Conclusion. Following a tactics adduced in treatment of hemorrhage in acute destructive pancreatitis it have demonstrated a high efficacy, especially in superselective embolization with the hemorrhage origin revealing.
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spelling doaj.art-c5e7decc48184e1b8e42083e16cda2182023-04-25T13:54:24ZrusLiga-Inform ltd.Клінічна хірургія0023-21302522-13962020-07-01875-6464910.26779/2522-1396.2020.5-6.46825Possibilities of roentgenendovascular interventions in massive arosive hemorrhage on background of acute destructive pancreatitisV. V. Grubnik0O. M. Zahorodniuk1Ye. A. Koichev2M. M. Chernov3Odessa National Medical UniversityOdessa National Medical UniversityOdessa National Medical UniversityOdessa National Medical UniversityObjective. To estimate the efficacy of roentgenendovascular interventions in massive arosive hemorrhage in patients with an acute destructive pancreatitis. Materials and metods. Roentgenendovascular interventions were performed in 9 patients, in whom massive arosive hemorrhage as complication of acute destructive pancreatitis have occurred. Results. In immediate term the hemorrhage have finished in all 9 (100%) patients. On the second day in 2 patients, to whom embolization of a. hepatis propria was performed, the hemorrhage recurrence have occurred. Secondary angiography and the embolizations attemps were not effective, both women-patients died. In the patients, in whom embolization of pancreatico-duodenal and splenic arteries was done, the hemorrhage did not recurred. Thus, we obtained good results - of 9 patients 7 (77.8%) were curated, not depending on their status severity and unfavorable prognosis. Conclusion. Following a tactics adduced in treatment of hemorrhage in acute destructive pancreatitis it have demonstrated a high efficacy, especially in superselective embolization with the hemorrhage origin revealing.https://hirurgiya.com.ua/index.php/journal/article/view/825acute destructive pancreatitis; roentgenendovascular interventions; arrosive hemorrhage.
spellingShingle V. V. Grubnik
O. M. Zahorodniuk
Ye. A. Koichev
M. M. Chernov
Possibilities of roentgenendovascular interventions in massive arosive hemorrhage on background of acute destructive pancreatitis
Клінічна хірургія
acute destructive pancreatitis; roentgenendovascular interventions; arrosive hemorrhage.
title Possibilities of roentgenendovascular interventions in massive arosive hemorrhage on background of acute destructive pancreatitis
title_full Possibilities of roentgenendovascular interventions in massive arosive hemorrhage on background of acute destructive pancreatitis
title_fullStr Possibilities of roentgenendovascular interventions in massive arosive hemorrhage on background of acute destructive pancreatitis
title_full_unstemmed Possibilities of roentgenendovascular interventions in massive arosive hemorrhage on background of acute destructive pancreatitis
title_short Possibilities of roentgenendovascular interventions in massive arosive hemorrhage on background of acute destructive pancreatitis
title_sort possibilities of roentgenendovascular interventions in massive arosive hemorrhage on background of acute destructive pancreatitis
topic acute destructive pancreatitis; roentgenendovascular interventions; arrosive hemorrhage.
url https://hirurgiya.com.ua/index.php/journal/article/view/825
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