Journal of Vascular Medicine & Surgery

Y Goychman

Publications

• Short Communication
  Delayed Post Pancreatectomy Hemorrhage: Incidence, Clinical Characteristics, Risk Factors and Management
  Author(s): A Ben Yehuda, E Nizri, Y Goychman, I Korry, N Lubezky, G Lahat, I Nachmany, J Klausner and M Ben HaimA Ben Yehuda, E Nizri, Y Goychman, I Korry, N Lubezky, G Lahat, I Nachmany, J Klausner and M Ben Haim
  
  Background: Delayed Post Pancreatectomy Hemorrhage (DPPH) is a devastating complication of pancreatic surgery, with a mortality rate approaching 50%. Clinical predictors and an effective management modality could improve patient outcome, but currently are not fully established. Aim: To define clinical predictors, treatment modalities and outcomes of DPPH. Methods: We retrospectively evaluated all pancreatic resections conducted in our center during 2008-2013 for delayed PPH. Indications for surgery, operative and post-operative course were reviewed. Methods implied for bleeding control and overall outcome are reported here. Results: Of 403 pancreatic resections performed between 2008-2013, we report 10 cases of severe DPPH (2.5%). Mortality rate was 50%, which yielded 50 % of the overall (90 days) mortality in this cohort. In all cases, pancreatic fistula, sepsis and sentinel bleeding.. View More»
  DOI: 10.4172/2329-6925.1000139

  Abstract PDF