Management of post-pancreatectomy haemorrhage using resuscitative endovascular balloon occlusion of the aorta

Gurkirat Singh; Christopher B. Nahm; Nigel B. Jamieson; Terence C. Chua; Shen Wong; Cathy Thoo; Anubhav Mittal; Anthony J. Gill; Jaswinder S. Samra

doi:10.1007/s00423-019-01759-0

Management of post-pancreatectomy haemorrhage using resuscitative endovascular balloon occlusion of the aorta

Gurkirat Singh, Christopher B. Nahm, Nigel B. Jamieson, Terence C. Chua, Shen Wong, Cathy Thoo, Anubhav Mittal, Anthony J. Gill, Jaswinder S. Samra^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

Abstract

Background: Delayed massive post-pancreatectomy haemorrhage (PPH) is a highly lethal complication after pancreatectomy. Angiographic procedures have led to improved outcomes in the management of these patients. In the setting of an acute haemorrhage, laparotomy and packing are often required to help stablise the patient. However, re-operative surgery in the post-pancreatectomy setting is technically challenging. Methods: A novel strategy of incorporating the resuscitative endovascular balloon occlusion of the aorta (REBOA) is described. Results: Two patients where the specific application of this technique uses the REBOA were described. Conclusion: The REBOA serves as a useful adjunct in haemorrhage control and haemodynamic stablisation to allow successful management of delayed massive PPH.

Original language	English
Pages (from-to)	253-255
Number of pages	3
Journal	Langenbeck's Archives of Surgery
Volume	404
Issue number	2
DOIs	https://doi.org/10.1007/s00423-019-01759-0
Publication status	Published - 15 Mar 2019

Keywords

Bleeding
Complication
Fistula
Mortality
Pancreatectomy

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title = "Management of post-pancreatectomy haemorrhage using resuscitative endovascular balloon occlusion of the aorta",

abstract = "Background: Delayed massive post-pancreatectomy haemorrhage (PPH) is a highly lethal complication after pancreatectomy. Angiographic procedures have led to improved outcomes in the management of these patients. In the setting of an acute haemorrhage, laparotomy and packing are often required to help stablise the patient. However, re-operative surgery in the post-pancreatectomy setting is technically challenging. Methods: A novel strategy of incorporating the resuscitative endovascular balloon occlusion of the aorta (REBOA) is described. Results: Two patients where the specific application of this technique uses the REBOA were described. Conclusion: The REBOA serves as a useful adjunct in haemorrhage control and haemodynamic stablisation to allow successful management of delayed massive PPH.",

keywords = "Bleeding, Complication, Fistula, Mortality, Pancreatectomy",

author = "Gurkirat Singh and Nahm, {Christopher B.} and Jamieson, {Nigel B.} and Chua, {Terence C.} and Shen Wong and Cathy Thoo and Anubhav Mittal and Gill, {Anthony J.} and Samra, {Jaswinder S.}",

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doi = "10.1007/s00423-019-01759-0",

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T1 - Management of post-pancreatectomy haemorrhage using resuscitative endovascular balloon occlusion of the aorta

AU - Singh, Gurkirat

AU - Nahm, Christopher B.

AU - Jamieson, Nigel B.

AU - Chua, Terence C.

AU - Wong, Shen

AU - Thoo, Cathy

AU - Mittal, Anubhav

AU - Gill, Anthony J.

AU - Samra, Jaswinder S.

PY - 2019/3/15

Y1 - 2019/3/15

N2 - Background: Delayed massive post-pancreatectomy haemorrhage (PPH) is a highly lethal complication after pancreatectomy. Angiographic procedures have led to improved outcomes in the management of these patients. In the setting of an acute haemorrhage, laparotomy and packing are often required to help stablise the patient. However, re-operative surgery in the post-pancreatectomy setting is technically challenging. Methods: A novel strategy of incorporating the resuscitative endovascular balloon occlusion of the aorta (REBOA) is described. Results: Two patients where the specific application of this technique uses the REBOA were described. Conclusion: The REBOA serves as a useful adjunct in haemorrhage control and haemodynamic stablisation to allow successful management of delayed massive PPH.

AB - Background: Delayed massive post-pancreatectomy haemorrhage (PPH) is a highly lethal complication after pancreatectomy. Angiographic procedures have led to improved outcomes in the management of these patients. In the setting of an acute haemorrhage, laparotomy and packing are often required to help stablise the patient. However, re-operative surgery in the post-pancreatectomy setting is technically challenging. Methods: A novel strategy of incorporating the resuscitative endovascular balloon occlusion of the aorta (REBOA) is described. Results: Two patients where the specific application of this technique uses the REBOA were described. Conclusion: The REBOA serves as a useful adjunct in haemorrhage control and haemodynamic stablisation to allow successful management of delayed massive PPH.

KW - Bleeding

KW - Complication

KW - Fistula

KW - Mortality

KW - Pancreatectomy

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Management of post-pancreatectomy haemorrhage using resuscitative endovascular balloon occlusion of the aorta

Abstract

Keywords

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