{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T01:29:14Z","timestamp":1775870954217,"version":"3.50.1"},"reference-count":34,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2008,2,1]],"date-time":"2008-02-01T00:00:00Z","timestamp":1201824000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2008,2,1]],"date-time":"2008-02-01T00:00:00Z","timestamp":1201824000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["jgisurgery.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Gastrointestinal Surgery"],"published-print":{"date-parts":[[2008,2]]},"DOI":"10.1007\/s11605-007-0361-2","type":"journal-article","created":{"date-parts":[[2007,10,19]],"date-time":"2007-10-19T13:57:09Z","timestamp":1192802229000},"page":"313-318","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":31,"title":["Sentinel Bleeding After Pancreaticoduodenectomy: A Disregarded Sign"],"prefix":"10.1016","volume":"12","author":[{"given":"J\u00fcrgen","family":"Treckmann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Paul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios C.","family":"Sotiropoulos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hauke","family":"Lang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arzu","family":"\u00d6zcelik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuat","family":"Saner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph E.","family":"Broelsch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1007\/s11605-007-0361-2_bb0010","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1097\/00000658-198801000-00009","article-title":"The complications of pancreatectomy","volume":"217","author":"Trede","year":"1988","journal-title":"Ann Surg"},{"issue":"3","key":"10.1007\/s11605-007-0361-2_bb0015","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1097\/00000658-199603000-00007","article-title":"Long-term survival after curative resection for pancreatic ductal adenocarcinoma. Clinicopathologic analysis of 5-year survivors","volume":"223","author":"Conlon","year":"1996","journal-title":"Ann Surg"},{"issue":"8","key":"10.1007\/s11605-007-0361-2_bb0020","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1001\/archsurg.1992.01420080079012","article-title":"Complications following pancreaticoduodenectomy. Current management","volume":"127","author":"Miedema","year":"1992","journal-title":"Arch Surg"},{"issue":"5","key":"10.1007\/s11605-007-0361-2_bb0025","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1002\/bjs.1800830512","article-title":"Survival after resection for ductal adenocarcinoma of the pancreas","volume":"83","author":"Sperti","year":"1996","journal-title":"Br J Surg"},{"issue":"4","key":"10.1007\/s11605-007-0361-2_bb0030","first-page":"641","article-title":"Pancreatogastrostomy: a safe drainage procedure after pancreatoduodenectomy","volume":"108","author":"Delcore","year":"1990","journal-title":"Surgery"},{"issue":"4","key":"10.1007\/s11605-007-0361-2_bb0035","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/S0002-9610(05)80151-5","article-title":"Pancreatic anastomotic leak after pancreaticoduodenectomy: incidence, significance, and management","volume":"168","author":"Cullen","year":"1994","journal-title":"Am J Surg"},{"issue":"6","key":"10.1007\/s11605-007-0361-2_bb0040","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1159\/000050193","article-title":"Management of complications after pancreaticoduodenectomy in a high volume centre: results on 150 consecutive patients","volume":"18","author":"Bassi","year":"2001","journal-title":"Dig Surg"},{"issue":"4","key":"10.1007\/s11605-007-0361-2_bb0045","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1159\/000018743","article-title":"Prevention and treatment of complications in pancreatic cancer surgery","volume":"16","author":"Berberat","year":"1999","journal-title":"Dig Surg"},{"issue":"60","key":"10.1007\/s11605-007-0361-2_bb0050","first-page":"1847","article-title":"Arterial hemorrhage by pseudoaneurysms following pancreatoduodenectomy","volume":"51","author":"Hashimoto","year":"2004","journal-title":"Hepatogastroenterology"},{"issue":"1","key":"10.1007\/s11605-007-0361-2_bb0055","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/S1072-7515(01)00876-6","article-title":"Incidence, risk factors, and treatment of pancreatic leakage after pancreaticoduodenectomy: drainage versus resection of the pancreatic remnant","volume":"185","author":"van Berge Henegouwen","year":"1997","journal-title":"J Am Coll Surg"},{"issue":"5","key":"10.1007\/s11605-007-0361-2_bb0060","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1016\/S0039-6109(16)46736-8","article-title":"Management of complications following pancreaticoduodenectomy","volume":"75","author":"Yeo","year":"1995","journal-title":"Surg Clin North Am"},{"issue":"2","key":"10.1007\/s11605-007-0361-2_bb0065","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/S1091-255X(02)00193-2","article-title":"Pancreaticoduodenectomy: role of interventional radiologists in managing patients and complications","volume":"7","author":"Sohn","year":"2003","journal-title":"J Gastrointest Surg"},{"issue":"4","key":"10.1007\/s11605-007-0361-2_bb0070","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1016\/j.amjsurg.2006.09.008","article-title":"Risk factors for and management of delayed intraperitoneal hemorrhage after pancreatic and biliary surgery","volume":"193","author":"Yamashita","year":"2007","journal-title":"Am J Surg"},{"issue":"1","key":"10.1007\/s11605-007-0361-2_bb0075","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1097\/01.sla.0000150169.22834.13","article-title":"Delayed massive hemorrhage after pancreatic and biliary surgery: embolization or surgery","volume":"241","author":"de Castro","year":"2005","journal-title":"Ann Surg"},{"issue":"8","key":"10.1007\/s11605-007-0361-2_bb0080","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1001\/archsurg.1991.01410320127019","article-title":"Arterial hemorrhage after pancreatoduodenectomy. The \u2018sentinel bleed","volume":"126","author":"Brodsky","year":"1991","journal-title":"Arch Surg"},{"issue":"1","key":"10.1007\/s11605-007-0361-2_bb0085","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.surg.2005.05.001","article-title":"International Study Group on Pancreatic Fistula Definition. Postoperative pancreatic fistula: an international study group (ISGPF) definition","volume":"138","author":"Bassi","year":"2005","journal-title":"Surgery"},{"issue":"8","key":"10.1007\/s11605-007-0361-2_bb0090","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1002\/bjs.1800760833","article-title":"Haemorrhage in pancreatic disease","volume":"76","author":"Shankar","year":"1989","journal-title":"Br J Surg"},{"issue":"2","key":"10.1007\/s11605-007-0361-2_bb0095","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1097\/00000658-199802000-00013","article-title":"Hemorrhage after pancreatoduodenectomy","volume":"227","author":"Rumstadt","year":"1998","journal-title":"Ann Surg"},{"issue":"11","key":"10.1007\/s11605-007-0361-2_bb0100","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1002\/bjs.1800821124","article-title":"Delayed massive haemorrhage after pancreatic and biliary surgery","volume":"82","author":"van Berge Henegouwen","year":"1995","journal-title":"Br J Surg"},{"issue":"1","key":"10.1007\/s11605-007-0361-2_bb0105","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/0002-9610(83)90259-3","article-title":"Gastrointestinal bleeding after operation for pancreatic cancer","volume":"146","author":"Meinke","year":"1983","journal-title":"Am J Surg"},{"issue":"2","key":"10.1007\/s11605-007-0361-2_bb0110","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1007\/s00268-004-7557-3","article-title":"Hemorrhage after duodenopancreatectomy: impact of neoadjuvant radiochemotherapy and experience with sentinel bleeding","volume":"29","author":"Turrini","year":"2005","journal-title":"World J Surg"},{"issue":"2","key":"10.1007\/s11605-007-0361-2_bb0115","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.jamcollsurg.2004.04.005","article-title":"Delayed hemorrhage after pancreaticoduodenectomy","volume":"199","author":"Choi","year":"2004","journal-title":"J Am Coll Surg"},{"issue":"54","key":"10.1007\/s11605-007-0361-2_bb0120","first-page":"2208","article-title":"Management of postoperative hemorrhage after pancreatoduodenectomy","volume":"50","author":"Yoon","year":"2003","journal-title":"Hepatogastroenterology"},{"issue":"11","key":"10.1007\/s11605-007-0361-2_bb0125","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1111\/j.1445-1433.2004.03212.x","article-title":"Haemorrhagic complications of pancreaticoduodenectomy","volume":"74","author":"Balachandran","year":"2004","journal-title":"ANZ J Surg"},{"issue":"10","key":"10.1007\/s11605-007-0361-2_bb0130","first-page":"968","article-title":"Periampullary and pancreatic head carcinoma: facts and factors influencing mortality, survival, and quality of postoperative life","volume":"81","author":"Lygidakis","year":"1986","journal-title":"Am J Gastroenterol"},{"issue":"7","key":"10.1007\/s11605-007-0361-2_bb0135","first-page":"271","article-title":"Treatment for dehiscence of pancreaticojejunostomy after pancreaticoduodenectomy: is resection of the residual pancreas necessary","volume":"43","author":"Wu","year":"1996","journal-title":"Hepatogastroenterology"},{"issue":"10","key":"10.1007\/s11605-007-0361-2_bb0140","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1001\/archsurg.133.10.1099","article-title":"Coil embolization of bleeding visceral pseudoaneurysms following pancreatectomy: the importance of early angiography","volume":"133","author":"Sato","year":"1998","journal-title":"Arch Surg"},{"issue":"2","key":"10.1007\/s11605-007-0361-2_bb0145","first-page":"131","article-title":"Delayed massive intraperitoneal hemorrhage after pancreatoduodenectomy","volume":"83","author":"Yoshida","year":"1998","journal-title":"Int Surg"},{"key":"10.1007\/s11605-007-0361-2_bb0150","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1007\/PL00013170","article-title":"Factors influencing morbidity and mortality after pancreaticoduodenectomy: critical analysis of 221 resections","volume":"2","author":"Bottger","year":"1999","journal-title":"World J Surg"},{"issue":"54","key":"10.1007\/s11605-007-0361-2_bb0155","first-page":"2199","article-title":"Delayed massive arterial hemorrhage after pancreaticoduodenectomy for cancer. Management of a life-threatening complication","volume":"50","author":"Santoro","year":"2003","journal-title":"Hepatogastroenterology"},{"issue":"1","key":"10.1007\/s11605-007-0361-2_bb0160","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/S0039-6060(98)70086-8","article-title":"Life-threatening upper gastrointestinal tract bleeding caused by ruptured extrahepatic pseudoaneurysm after pancreatoduodenectomy","volume":"124","author":"Reber","year":"1998","journal-title":"Surgery"},{"issue":"7","key":"10.1007\/s11605-007-0361-2_bb0165","first-page":"268","article-title":"Bleeding of the pancreatic stump following pancreatoduodenectomy for cancer","volume":"43","author":"Balladur","year":"1996","journal-title":"Hepatogastroenterology"},{"issue":"2","key":"10.1007\/s11605-007-0361-2_bb0170","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1097\/00006676-199603000-00003","article-title":"Intraabdominal hemorrhage complicating surgical management of necrotizing pancreatitis","volume":"12","author":"Tsiotos","year":"1996","journal-title":"Pancreas"},{"issue":"1","key":"10.1007\/s11605-007-0361-2_bb0175","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1046\/j.1365-2168.1999.00983.x","article-title":"Management of bleeding pseudoaneurysms in patients with pancreatitis","volume":"86","author":"de Perrot","year":"1999","journal-title":"Br J Surg"}],"container-title":["Journal of Gastrointestinal Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s11605-007-0361-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s11605-007-0361-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1091255X23081842?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1091255X23081842?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s11605-007-0361-2","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T19:27:56Z","timestamp":1761074876000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1091255X23081842"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,2]]},"references-count":34,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2008,2]]}},"alternative-id":["S1091255X23081842"],"URL":"https:\/\/doi.org\/10.1007\/s11605-007-0361-2","relation":{},"ISSN":["1091-255X"],"issn-type":[{"value":"1091-255X","type":"print"}],"subject":[],"published":{"date-parts":[[2008,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Sentinel Bleeding After Pancreaticoduodenectomy: A Disregarded Sign","name":"articletitle","label":"Article Title"},{"value":"Journal of Gastrointestinal Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1007\/s11605-007-0361-2","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2007 Society for Surgery of the Alimentary Tract. Published by ELSEVIER INC. All rights reserved. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}