Management of recurrent bleeding after pancreatoduodenectomy.


BACKGROUND:Re-bleeding after management of a first haemorrhage following pancreatic surgery is an ever-present danger and often presents diagnostic and management dilemmas. METHODS:All cases of post-pancreatectomy haemorrhage (PPH) following pancreatoduodenectomy were identified from a tertiary referral, clinical database (April 2004-April 2013). Only those suffering a second re-bleeding episode were included in the final case notes review. RESULTS:A total of 301 patients underwent pancreatoduodenectomy during the study period (most common indication: pancreatic adenocarcinoma; 49.5%). Twenty-two (7.3%) patients suffered a PPH (five early). Of these cases, three suffered a re-bleeding event (one mortality). Endoscopy, interventional radiology and surgery were employed in each case. CONCLUSION:PPH presents major clinical challenges and is associated with significant morbidity and mortality. Early detection of the site and type of bleeding are critical and multimodal therapy is usually required. Interventional radiology techniques are making a major contribution to overall management.


ANZ J Surg


ANZ journal of surgery


Staerkle RF,Gundara JS,Hugh TJ,Maher R,Steinfort B,Samra JS




Has Abstract


2018-05-01 00:00:00












  • Predicting complications in hepatic resection for colorectal liver metastasis: the lymphocyte-to-monocyte ratio.

    abstract:BACKGROUND:Colorectal cancer is one of the most common malignancies worldwide; whilst approximately 20% of patients have hepatic disease at presentation. Hepatic resection remains the gold standard of care; however, it is associated with significant morbidity. We sought to establish whether the lymphocyte-to-monocyte r...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: McCluney SJ,Giakoustidis AA,Segler A,Bissel J,Miller RL,Valente R,Hutchins RR,Abraham A,Bhattacharya S,Kocher HM

    更新日期:2018-11-01 00:00:00

  • Wound healing and growth factor expression in T lymphocyte deficiency.

    abstract:BACKGROUND:There are many clinical situations in which immune suppression or deficiency occurs. This may lead to healing impairment. The aim of the present study was to characterize the effect of T lymphocyte deficiency on wound healing, and on -platelet-derived growth factor (PDGF), bFGF (basic fibroblast growth facto...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Chircop MP,Yu Y,Berney CR,Yang JL,Crowe PJ,Walsh WR

    更新日期:2002-07-01 00:00:00

  • Oncoplastic partial breast reconstruction improves patient satisfaction and aesthetic outcome for central breast tumours.

    abstract:BACKGROUND:Patients with centrally located tumours involving the nipple-areolar complex (NAC) who undergo breast-conserving treatment (BCT) are at high risk for breast deformity and asymmetry. Immediate oncoplastic breast reconstruction (OBR) can have a favourable impact on surgical outcome. METHODS:We retrospectively...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Shechter S,Friedman O,Inbal A,Arad E,Menes T,Barsuk D,Gur E,Barnea Y

    更新日期:2019-05-01 00:00:00

  • Comparison between video-assisted retroperitoneal debridement and small incision pancreatic necrosectomy in infected pancreatic necrosis.

    abstract:BACKGROUND:Debridement and drainage have always been mainstream treatment for infected pancreatic necrosis (IPN), and the application of minimally invasive necrosectomy is becoming increasingly widespread. However, few studies have compared video-assisted retroperitoneal debridement (VARD) and small incision pancreatic...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Zhang JB,Sun B

    更新日期:2020-08-11 00:00:00

  • Why do surgeons receive more complaints than their physician peers?

    abstract:BACKGROUND:Compared with other doctors, surgeons are at an increased risk of medicolegal events, including patient complaints and negligence claims. This retrospective study aimed to describe the frequency and nature of complaints involving surgeons compared with physicians. METHODS:We assembled a national data set of...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Tibble HM,Broughton NS,Studdert DM,Spittal MJ,Hill N,Morris JM,Bismark MM

    更新日期:2018-04-01 00:00:00

  • Time to computed tomography scanning for major trauma patients: the Australian reality.

    abstract:BACKGROUND:Computed tomography (CT) can facilitate the diagnosis of life-threatening injuries in polytrauma patients. Reported times to imaging vary widely, but it has been suggested that rapid whole body scanning improves mortality rates. The aim of this study was to determine the time to CT for severe polytrauma pati...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Easton R,Sisak K,Balogh ZJ

    更新日期:2012-09-01 00:00:00

  • Laparoscopic-assisted colectomy with Duhamel procedure for idiopathic megacolon in adults: a retrospective study.

    abstract:BACKGROUND:Idiopathic megacolon (IMC) is an uncommon disease in adults. To date, only a few laparoscopic experiences and functional outcomes of IMC have been reported. This study was to retrospectively analyse our 12 year surgical experience and functional outcomes in adult patients with IMC. METHODS:A 12-year retrosp...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Wang L,Zheng H,Tian Y,Mou J,Zhang L,Liu B,Tong W

    更新日期:2020-11-01 00:00:00

  • The effect of indole-3-carbinol and sulforaphane on a prostate cancer cell line.

    abstract:BACKGROUND:Cruciferous vegetable consumption is inversely related to the incidence of prostate cancer. We examined the effect of indole-3-carbinol (I3C) and of sulforaphane (constituents of cruciferous vegetables) on cell proliferation of a PC-3 prostate cancer cell line, in order to observe if an inhibitory effect mig...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Frydoonfar HR,McGrath DR,Spigelman AD

    更新日期:2003-03-01 00:00:00

  • Weasels, keys and Thersites.

    abstract::It was the achievement of Andreas Vesalius (1514-1564) to redefine the understanding of human anatomy; and that of Homer was to write the first historical novel. This paper offers a link between the works of these two venturers, by way of an examination of the clinical anatomy of the clavicle. ...

    journal_title:ANZ journal of surgery

    pub_type: 传,历史文章,杂志文章


    authors: Beasley AW

    更新日期:2011-12-01 00:00:00

  • 'Ao' or eponyms: the classification of wrist fractures.

    abstract::Abraham Colles had the good fortune to describe the most common fracture about the wrist but, because its description was published in a provincial journal, it received little attention and was almost never referred to in his lifetime. The same can be said of Claude Pouteau who described the same fracture in another l...

    journal_title:ANZ journal of surgery

    pub_type: 历史文章,杂志文章


    authors: Thurston AJ

    更新日期:2005-05-01 00:00:00

  • Familial colorectal cancer type X: polyp burden and cancer risk stratification via a family history score.

    abstract:BACKGROUND:Patients fulfilling Amsterdam-1 criteria without mismatch repair deficiency (termed familial colorectal cancer type X (FCC type X)) were reported to have lower cancer risks than classic Lynch syndrome. This study investigates the polyp and cancer burden of this population and demonstrates relationships with ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Koh PK,Kalady M,Skacel M,Fay S,McGannon E,Shenal J,Arroyo L,Toderick K,Church J

    更新日期:2011-07-01 00:00:00

  • Mortality, morbidity and functional outcome after total or subtotal abdominal colectomy in the Asian population.

    abstract:OBJECTIVE:This study reviews the functional outcome and satisfaction of patients after subtotal or total colectomy (STTC). METHODS:A retrospective review of patients who underwent STTC between June 1999 and September 2003 was performed. A standardized questionnaire was formulated and phone interviews were conducted wi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: bin Mohd Zam NA,Tan KY,Ng C,Chen CM,Wong SK,Chng HC,Tay KH,Eu KW

    更新日期:2005-10-01 00:00:00

  • Variations in intrinsic breast cancer characteristics in screen-detected breast cancer patients aged between 45 and 69 and above the age of 70.

    abstract:BACKGROUND:Increasing age is a well-recognized risk factor for breast cancer. With an increase in life expectancy of women, more older patients are diagnosed with breast cancer. This study aimed to identify the variations in breast cancer attributes and mortality in different age groups in New Zealand. METHODS:This wa...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Huang Y,Ip EC,Ng AKT,Cohen-Hallaleh R

    更新日期:2020-11-20 00:00:00

  • Developmental anomaly of the inferior vena cava.

    abstract::Despite the many possible modes of presentation, congenital anomalies of the inferior vena cava are increasingly being found in asymptomatic patients. Although plain chest radiography may reveal enough suggestive signs, the diagnosis is usually confirmed by ultrasound, computed tomography and magnetic resonance imagin...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Sandercoe GD,Brooke-Cowden GL

    更新日期:2003-05-01 00:00:00

  • Baseline comparisons in surgical trials.

    abstract:INTRODUCTION:Baseline measurements are an essential component of clinical trials. They should establish that the groups involved are clinically equivalent so that any observed differences can be attributed to the intervention under evaluation. The objective of this study was to review the use of baseline comparisons in...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Hall JC,Hall JL

    更新日期:2002-08-01 00:00:00

  • Long-term outcome of portomesenteric vein invasion and prognostic factors in pancreas head adenocarcinoma.

    abstract:BACKGROUND:The purpose of this study was to clarify the post-operative prognosis of pancreatic head cancer with pathologic portal vein (PV) or superior mesenteric vein (SMV) invasion. METHODS:From May 1995 to December 2009, preoperative, intra-operative and post-operative data from 276 patients who underwent pancreati...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Jeong J,Choi DW,Choi SH,Heo JS,Jang KT

    更新日期:2015-04-01 00:00:00

  • Investigations and time trends in loop ileostomy reversals following anterior resections: a single Australian institution seven-years' experience.

    abstract:BACKGROUND:Currently no consensus exists regarding what pre-reversal investigations are required to assess integrity of the rectal anastomosis. The objective of this study was to compare pre-reversal assessments of anastomotic integrity and to evaluate trends that might have influenced timings for reversal. METHODS:Fr...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Taylor D,Besson A,Faragher IG,Chan STF,Yeung JM

    更新日期:2020-12-09 00:00:00

  • An in-vivo paradigm for the evaluation of stimulating electrodes for use with a visual prosthesis.

    abstract:BACKGROUND:Electrical stimulation of the visual cortex with surface electrodes is able to elicit basic visual perceptions in blind patients. The development of a visual prosthesis for the blind will require an in-vivo model for the optimization of cortical neurostimulation with multielectrode arrays. METHODS:In anaest...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Chowdhury V,Morley JW,Coroneo MT

    更新日期:2004-05-01 00:00:00

  • Measurement of rotational deformity: using a smartphone application is more accurate than conventional methods.

    abstract:BACKGROUND:We assessed the accuracy of three different methods measuring the angle between two fixed Kirschner wires for the potential purpose of determining correction during rotational osteotomy of long bones. METHODS:Thirty-one orthopaedic consultants and registrars were prospectively asked to measure the angle bet...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Graham D,Suzuki A,Reitz C,Saxena A,Kuo J,Tetsworth K

    更新日期:2013-12-01 00:00:00

  • Fournier's gangrene: a retrospective clinical study on forty-one patients.

    abstract:BACKGROUND:Fournier's gangrene, first described by Dr Jean Alfred Fournier in 1883, still has a high mortality rate. The prognosis and outcome of such patients were analysed. METHODS:Forty-one patients with Fournier's gangrene were reviewed on the parameters of age, sex, aetiological agents, predisposing factors, trea...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Ayan F,Sunamak O,Paksoy SM,Polat SS,As A,Sakoglu N,Cetinkale O,Sirin F

    更新日期:2005-12-01 00:00:00

  • Gastric tube graft interposition as an oesophageal substitute.

    abstract:BACKGROUND:Use and techniques of oesophageal replacement for long gap oesophageal atresia are still evolving. Gastric tube graft interposition as an oesophageal substitute was evaluated on an animal model. METHODS:Twenty-three postweaned, 28-day-old-piglets were used as the experimental animals. Isoperistaltic gastric...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Samuel M,Burge DM,Moore IE

    更新日期:2001-01-01 00:00:00

  • Multiple interventions with prolonged length of stay are required for treatment of necrotizing pancreatitis.

    abstract:BACKGROUND:A proportion of patients with acute pancreatitis (AP) develop necrosis. Around a third will become infected, and this is associated with a significant requirement for intervention and support. We evaluated the burden of necrotizing pancreatitis (NP) in an Australian tertiary hospital with regards to morbidit...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Shilton H,Breen D,Gupta S,Evans P,Pilgrim C

    更新日期:2018-03-01 00:00:00

  • Paul of Aegina's surgical instruments: a complete surgical instrumentarium in the seventh century AD.

    abstract:BACKGROUND:Although current progress in surgical instruments is oriented towards stapler devices, minimally invasive instrumentation and advanced cautery tools, it definitely seems intriguing to determine what instruments were used in antiquity and to appraise their use. Most adequate information can be retrieved from ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Papadakis M,de Bree E,Trompoukis C,Manios A

    更新日期:2018-07-01 00:00:00

  • Colorectal cancer surgical care and survival: do private health insurance, socioeconomic and locational status make a difference?

    abstract:BACKGROUND:The purpose of the present paper was to examine patterns of surgical care and the likelihood of death within 5 years after a diagnosis of colorectal cancer, including the effects of demographic, locational and socioeconomic disadvantage and the possession of private health insurance. METHODS:The Western Aus...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Hall SE,Holman CD,Platell C,Sheiner H,Threlfall T,Semmens J

    更新日期:2005-11-01 00:00:00

  • Complete natal cleft removal with kite incision in the treatment of extensive sacrococcygeal pilonidal sinus.

    abstract:BACKGROUND:Pilonidal sinus (PS) is a benign disease for which different treatment modalities are used, varying from non-surgical treatments to surgical treatments with flap use for big defects. High recurrence is the main problem in complicated cases. We presented complete natal cleft excision with kite incision and fa...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Ozdemir H,Unal Ozdemir Z,Sunamak O

    更新日期:2020-04-01 00:00:00

  • Early urinary diversion with ileal conduit and vesicovaginostomy in the treatment of radiation cystitis due to carcinoma cervix: a study from a tertiary care hospital in South India.

    abstract:BACKGROUND:To study the magnitude of radiation cystitis following radiation therapy for carcinoma cervix, and propose an algorithm to decide on early diversion, with or without vesicovaginostomy. METHODS:Women who developed radiation cystitis following radiotherapy for carcinoma cervix from January 1998 to December 20...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Banerji JS,Devasia A,Kekre NS,Chacko N

    更新日期:2015-10-01 00:00:00

  • Wound tension and 'closability' with keystone flaps, V-Y flaps and primary closure: a study in fresh-frozen cadavers.

    abstract:BACKGROUND:Previous publications have implied that the keystone flap provides mechanical benefits compared to primary closure. This has not been objectively demonstrated. METHODS:Elliptical defects were created in 'fresh-frozen' cadaveric specimens. Two approaches were used to investigate the potential mechanical bene...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Donovan LC,Douglas CD,Van Helden D

    更新日期:2018-05-01 00:00:00

  • Modified distally based sural adipofascial flap for reconstructing of leg and ankle.

    abstract:BACKGROUND:While free flaps can be used in many cases to cover soft tissue defects in the distal leg and ankle in a single stage, factors such as diabetes and advanced age can interfere with success of vascular anastomoses. METHODS:Twenty-five patients with deep tissue exposure of the distal leg and ankle underwent re...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Yang C,Li Y,Geng S,Fu C,Sun J,Bi Z

    更新日期:2013-12-01 00:00:00

  • Current controversies in the management of patients with severe traumatic brain injury.

    abstract:BACKGROUND:Traumatic brain injury is a major cause of mortality and morbidity, particularly among young men. The efficacy and safety of most of the interventions used in the management of patients with traumatic brain injury remain unproven. Examples include the 'cerebral perfusion pressure-targeted' and 'volume-target...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Adamides AA,Winter CD,Lewis PM,Cooper DJ,Kossmann T,Rosenfeld JV

    更新日期:2006-03-01 00:00:00

  • Modified saphenous-peritoneal shunt in refractory ascites: new technique.

    abstract:BACKGROUND:Refractory ascites is a serious complication for patients with decompensated liver cirrhosis. Saphenous-peritoneal shunting is a possible surgical treatment for its relief, but tends to lead to higher groin infections. The purpose of the present paper was to determine whether a modified procedure could resol...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Chen JH,Liu HD,Yu JC,Chen CJ,Shih ML,Liu YC,Hsieh CB

    更新日期:2005-03-01 00:00:00