Hemorrhagic complications after Whipple surgery: imaging and radiologic intervention

AJR Am J Roentgenol. 2011 Jan;196(1):192-7. doi: 10.2214/AJR.10.4727.

Abstract

Objective: The aim of this pictorial essay is to illustrate the radiologic patterns, sites of bleeding, and vascular interventional techniques used in the management of postpancreatectomy hemorrhage.

Conclusion: Hemorrhagic complications occur in fewer than 10% of patients after Whipple pancreatoduodenectomy but account for as many as 38% of deaths. Bleeding typically occurs from the stump of the gastroduodenal artery, but other sites of bleeding are increasingly recognized.

Publication types

  • Review

MeSH terms

  • Angiography, Digital Subtraction
  • Embolization, Therapeutic
  • Hemorrhage / diagnostic imaging*
  • Hemorrhage / therapy
  • Humans
  • Pancreatic Neoplasms / diagnostic imaging
  • Pancreatic Neoplasms / surgery*
  • Pancreaticoduodenectomy*
  • Postoperative Complications / diagnostic imaging*
  • Postoperative Complications / therapy
  • Radiology, Interventional*
  • Stents
  • Time Factors
  • Tomography, X-Ray Computed