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KMID : 1048120180070030162
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International Journal of Gastrointestinal Intervention
2018 Volume.7 No. 3 p.162 ~ p.166
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Endovascular treatment of pancreatitis-related gastrointestinal bleeding
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Noh Seung-Yeon
Shin Ji-Hoon
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Abstract
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Hemorrhage following pancreatitis may become complicated during the disease course and with possibly fatal consequences. Radiologic findings are as follows: the presence of hematomas, hemorrhagic pseudocysts, extravasation of contrast media or the formation of arterial pseudoaneurysms. The digital subtraction angiography findings are as follows: contrast extravasation due to arterial rupture; pseudoaneurysm formation; and luminal irregularity. A pseudoaneurysm is considered to be treated as soon as detected due to its risk of rupture. Endovascular management, which includes embolization using coils, N-butyl cyanoacrylate, gelatin sponge, stents, and thrombin, is an effective option for the treatment for pancreatitis-related bleeding.
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KEYWORD
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Embolization, therapeutic, Endovascular procedures, Hemorrhage, Pancreatitis, Pseudoaneurysm
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