{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T11:51:50Z","timestamp":1765626710830,"version":"3.48.0"},"reference-count":12,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gut"],"published-print":{"date-parts":[[1995,2]]},"abstract":"<jats:p>A 52 year old man with chronic pancreatitis presented with recurrent upper gastrointestinal bleeding. Gastroscopy was normal, but visceral angiography suggested that there were gastric varices. Despite treatment with propranolol he had further episodes of bleeding and so underwent splenectomy to decompress the gastric varices. When the spleen was removed, however, an inflammatory mass in the head of the pancreas adherent to the posterior gastric wall was noted. Within it the splenic artery was visible and communicated with the gastric lumen through a small opening in the gastric wall. The artery was ligated and the patient has since had no further bleeding. Thus, chronic pancreatitis should be considered as a cause of recurrent upper gastro-intestinal bleeding, especially when gastroscopy is normal.<\/jats:p>","DOI":"10.1136\/gut.36.2.314","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:41:31Z","timestamp":1190137291000},"page":"314-316","source":"Crossref","is-referenced-by-count":8,"title":["Recurrent gastrointestinal bleeding associated with chronic pancreatitis."],"prefix":"10.1136","volume":"36","author":[{"given":"A P","family":"Jenkins","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M M","family":"el-Omar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J C","family":"Booth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A K","family":"Banerjee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K G","family":"Burnand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R P","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1995,2,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1136\/bmj.2.6038.723","article-title":"Prospective comparison of double-contrast barium meal examination and fibreoptic endoscopy in acute upper gastrointestinal haemorrhage","volume":"2","author":"Stevenson, G.W.; Cox, R.R.; Roberts, C.J.C.","year":"1976","unstructured":"Stevenson GW, Cox RR, Roberts CJC. 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Recognition and clinical implications of mesenteric and portal vein obstruction in chronic pancreatitis. Arch Surg 1987; 122: 410-5.","journal-title":"Arch Surg"},{"key":"ref_7","first-page":"56","article-title":"Angiographic findings in pancreatitis. AJ7R 1969; 107","author":"Reuter, SR, Redman; HC, Joseph; R.R.","unstructured":"Reuter SR, Redman HC, Joseph RR. Angiographic findings in pancreatitis. AJ7R 1969; 107: 56-64."},{"key":"ref_8","first-page":"337","article-title":"Angiography of massive hemorrhage secondary to pancreatic disease","volume":"124","author":"Walter, J.F.; Bookstein, Chuang V.P.; JJ, SR, Reuter; Cho, K.J.; Pulmaro, C.M.","year":"1977","unstructured":"Walter JF, Chuang VP. Bookstein JJ, Reuter SR, Cho KJ, Pulmaro CM. Angiography of massive hemorrhage secondary to pancreatic disease. Diagn Radiol 1977; 124: 337-42.","journal-title":"Diagn Radiol"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1007\/BF01789217","article-title":"Major hemorrhage from pseudocysts and pseudoaneurysms caused by chronic pancreatitis: surgical therapy","volume":"15","author":"Bresler, L.; Boissel, P.; Grosdidier, J.","year":"1991","unstructured":"Bresler L, Boissel P, Grosdidier J. Major hemorrhage from pseudocysts and pseudoaneurysms caused by chronic pancreatitis: surgical therapy. World Jf Surg 1991; 15: 649-53.","journal-title":"World Jf Surg"},{"key":"ref_10","first-page":"133","article-title":"Control of major haemorrhage associated with pancreatic pseudocysts by transcatheter arterial embolization","volume-title":"BrJSurg","volume":"71","author":"Huizing, W.K.J.; Kalideen, J.M.; Bryer, J.V.; Bell, P.S.H.; Baker, L.W.","year":"1984","unstructured":"Huizing WKJ, Kalideen JM, Bryer JV, Bell PSH, Baker LW. Control of major haemorrhage associated with pancreatic pseudocysts by transcatheter arterial embolization. BrJSurg 1984; 71: 133-6."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1007\/BF01296267","article-title":"Major gastrointestinal hemorrhage from peripancreatic blood vessels in pancreatitis: treatment by embolotherapy","volume":"29","author":"Steckman, M.L.; Dooley, M.C.; Jacques, P.F.","year":"1984","unstructured":"Steckman ML, Dooley MC, Jacques PF, et al. Major gastrointestinal hemorrhage from peripancreatic blood vessels in pancreatitis: treatment by embolotherapy. Dig Dis Sci 1984; 29: 486-97.","journal-title":"Dig Dis Sci"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/S0168-8278(05)80453-2","article-title":"The management of active variceal bleeding","volume":"17","author":"Westaby, D.","year":"1993","unstructured":"Westaby D. The management of active variceal bleeding. JHepatol 1993; 17: S34-7.","journal-title":"JHepatol"}],"container-title":["Gut"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/gut.36.2.314","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T11:49:57Z","timestamp":1765626597000},"score":1,"resource":{"primary":{"URL":"https:\/\/gut.bmj.com\/lookup\/doi\/10.1136\/gut.36.2.314"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,2]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[1995,2,1]]},"published-print":{"date-parts":[[1995,2]]}},"alternative-id":["10.1136\/gut.36.2.314"],"URL":"https:\/\/doi.org\/10.1136\/gut.36.2.314","relation":{},"ISSN":["0017-5749","1468-3288"],"issn-type":[{"type":"print","value":"0017-5749"},{"type":"electronic","value":"1468-3288"}],"subject":[],"published":{"date-parts":[[1995,2]]}}}