Incidence and Contemporary Management of Delayed Bleeding Following Pancreaticoduodenectomy.
Joseph R HabibShanshan GaoAhn Joon YoungElie GhabiAslam EjazWilliam BurnsRichard BurkhartMatthew WeissChristopher L WolfgangJohn L CameronRobert LiddellChristos GeorgiadesKelvin HongJin HeKelly J LafaroPublished in: World journal of surgery (2022)
Delayed bleeding following PD remains a life-threatening complication. The most common location of delayed bleeding is from the gastroduodenal artery. Angiography with embolization should be the initial approach for urgent bleeding with surgical re-exploration reserved for unstable patients or failed control of bleeding after interventional angiography or endoscopy.