Risk Factors and Treatment for Hemorrhage after Pancreaticoduodenectomy: A Case Series of 423 Patients
Joint Authors
Gao, Feng
Li, Jianguo
Quan, Shengwei
Li, Fujun
Ma, Donglai
Yao, Lei
Zhang, Ping
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-16
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
The study aimed to investigate the risk factors of postpancreatectomy hemorrhage (PPH) after pancreaticoduodenectomy (PD).
A retrospective analysis of 423 patients who underwent PD between January 2008 and January 2014 was conducted.
The overall incidence and all-cause mortality of PPH were 9.9% (42/423) and 2.1% (9/423), respectively.
Independent risk factors of early PPH were revascularization (odds ratio (OR) = 6.786; 95% confidence interval (95% CI): 1.785–25.792; P=0.005), history of abdominal surgery (OR = 5.009; 95% CI: 1.968–12.749; P=0.001), and preoperative albumin levels (OR = 4.863; 95% CI: 1.962–12.005; P=0.001).
Independent risk factors of late PPH included postoperative pancreatic leakage (OR = 4.696; 95% CI: 1.605–13.740; P=0.005), postoperative biliary fistula (OR = 6.096; 95% CI: 1.575–23.598; P=0.009), postoperative abdominal infection (OR = 4.605; 95% CI: 1.108–19.144; P=0.036), revascularization (OR = 9.943; 95% CI: 1.900–52.042; P=0.007), history of abdominal surgery (OR = 8.790; 95% CI: 2.779–27.806; P<0.001), and preoperative albumin levels (OR = 5.563; 95% CI: 1.845–16.776; P=0.002).
American Psychological Association (APA)
Gao, Feng& Li, Jianguo& Quan, Shengwei& Li, Fujun& Ma, Donglai& Yao, Lei…[et al.]. 2016. Risk Factors and Treatment for Hemorrhage after Pancreaticoduodenectomy: A Case Series of 423 Patients. BioMed Research International،Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1097159
Modern Language Association (MLA)
Gao, Feng…[et al.]. Risk Factors and Treatment for Hemorrhage after Pancreaticoduodenectomy: A Case Series of 423 Patients. BioMed Research International No. 2016 (2016), pp.1-9.
https://search.emarefa.net/detail/BIM-1097159
American Medical Association (AMA)
Gao, Feng& Li, Jianguo& Quan, Shengwei& Li, Fujun& Ma, Donglai& Yao, Lei…[et al.]. Risk Factors and Treatment for Hemorrhage after Pancreaticoduodenectomy: A Case Series of 423 Patients. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1097159
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1097159