ARTERIAL VASOPRESSIN FOR CONTROL OF BLEEDING FROM A STAPLED INTESTINAL ANASTOMOSIS - REPORT OF 2 CASES

被引:11
作者
ATABEK, U [1 ]
PELLO, MJ [1 ]
SPENCE, RK [1 ]
ALEXANDER, JB [1 ]
CAMISHION, RC [1 ]
机构
[1] UNIV MED & DENT NEW JERSEY,COOPER HOSP UNIV MED CTR,ROBERT WOOD JOHNSON MED SCH,DEPT SURG,CAMDEN,NJ
关键词
GASTROINTESTINAL ANASTOMOSIS; ANASTOMOTIC HEMORRHAGE; GASTROINTESTINAL STAPLING; SURGICAL TECHNIQUE;
D O I
10.1007/BF02251974
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Postoperative bleeding from a stapled intestinal anastomosis is a rare complication. In previously reported cases, the bleeding either ceased spontaneously or required reoperation for direct control. We report two cases in which the bleeding was controlled using an intra-arterial vasopressin infusion. To our knowledge, this technique has not been previously reported for management of this problem. We had initial concerns about creating ischemia at the anastomosis, which could lead to disruption. Neither patient demonstrated subsequent problems with the anastomosis. Intra-arterial vasopressin infusion appears to be an effective method for controlling bleeding from a stapled intestinal anastomosis and can avert the need for reoperation.
引用
收藏
页码:1180 / 1182
页数:3
相关论文
共 8 条
[1]
STAPLED GASTROINTESTINAL-TRACT ANASTOMOSIS - INCIDENCE OF POST-OPERATIVE COMPLICATIONS COMPARED WITH SUTURED ANASTOMOSIS [J].
CHASSIN, JL ;
RIFKIND, KM ;
SUSSMAN, B ;
KASSEL, B ;
FINGARET, A ;
DRAGER, S ;
CHASSIN, PS .
ANNALS OF SURGERY, 1978, 188 (05) :689-696
[2]
ACUTE ARTERIAL - GASTROINTESTINAL HEMORRHAGE - EFFICACY OF TRANSCATHETER CONTROL [J].
CLARK, RA ;
COLLEY, DP ;
EGGERS, FM .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1981, 136 (06) :1185-1189
[3]
BLEEDING FROM STAPLER ANASTOMOSIS [J].
FISCHER, MG .
AMERICAN JOURNAL OF SURGERY, 1976, 131 (06) :745-747
[4]
STAPLING INSTRUMENTS IN UPPER GASTROINTESTINAL SURGERY - A RETROSPECTIVE STUDY OF 362 CASES [J].
LOWDON, IMR ;
GEAR, MWL ;
KILBY, JO .
BRITISH JOURNAL OF SURGERY, 1982, 69 (06) :333-335
[5]
RAHN NH, 1982, RADIOLOGY, V143, P261
[6]
STEICHEN FM, 1984, SURG CLIN N AM, V64, P425
[7]
TUCHMANN A, 1985, INT SURG, V70, P23
[8]
WEILPH, 1981, ARCH SURG-CHICAGO, V116, P114