Vascular complications of chronic pancreatitis and its management  

作　　者：Dinesh Walia Anoop Saraya Deepak Gunjan 

机构地区：[1]Gastroenterology and Human Nutrition Unit,All India Institute of Medical Sciences,New Delhi 110029,India

出　　处：《World Journal of Gastrointestinal Surgery》2023年第8期1574-1590,共17页世界胃肠外科杂志（英文版）（电子版）

摘　　要：Chronic pancreatitis is a chronic fibro-inflammatory disorder of the pancreas,resulting in recurrent abdominal pain,diabetes mellitus,and malnutrition.It may lead to various other complications such as pseudocyst formation,benign biliary stricture,gastric outlet obstruction;and vascular complications like venous thrombosis,variceal and pseudoaneurysmal bleed.Development of varices is usually due to chronic venous thrombosis with collateral formation and variceal bleeding can easily be tackled by endoscopic therapy.Pseudoaneurysmal bleed can be catastrophic and requires radiological interventions including digital subtraction angiography followed by endovascular obliteration,or sometimes with a percutaneous or an endoscopic ultrasound-guided approach in technically difficult situations.Procedure-related bleed is usually venous and mostly managed conservatively.Procedure-related arterial bleed,however,may require radiological interventions.

关 键 词：Chronic pancreatitis PSEUDOANEURYSM Vascular complications VARICES Venous thrombosis 

分 类 号：R657.5[医药卫生—外科学]