{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:17:36Z","timestamp":1777727856804,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Public Welfare Technology Application Research Projects of Shaoxing","award":["2020A13025"],"award-info":[{"award-number":["2020A13025"]}]},{"name":"Zhejiang Provincial Natural Science Foundation of China","award":["LY19H160016"],"award-info":[{"award-number":["LY19H160016"]}]},{"name":"esearch Foundation of Health Bureau of Zhejiang Province","award":["2019ZD057"],"award-info":[{"award-number":["2019ZD057"]}]},{"name":"esearch Foundation of Health Bureau of Zhejiang Province","award":["2020RC127"],"award-info":[{"award-number":["2020RC127"]}]},{"name":"esearch Foundation of Health Bureau of Zhejiang Province","award":["2021KY372"],"award-info":[{"award-number":["2021KY372"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:p>Pancreaticoduodenectomy (PD) is one of the most complex surgeries and is associated with a high rate of complications, including bleeding, delayed gastric emptying (DGE), and pancreatic fistula. Although the frequency of postoperative hemorrhage is not high, this complication results in severe adverse outcomes. A 67-year-old man was diagnosed with pancreatic cancer and underwent PD. On the tenth day after surgery, he developed hypovolemic shock with hematemesis. Urgent digital subtraction angiography identified the bleeding artery as the jejunal mesenteric artery at the afferent loop, and the bleeding artery was embolized with two coils. After digital subtraction angiography, the patient had an uneventful recovery with no further complications. Therefore, we concluded that it is possible that bleeding may occur in the afferent loop when hemorrhage occurs after PD.<\/jats:p>","DOI":"10.1177\/03000605221109396","type":"journal-article","created":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T08:38:30Z","timestamp":1656578310000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Confusing delayed hematemesis, unusual arterial hemorrhage after pancreaticoduodenectomy: a case report"],"prefix":"10.1177","volume":"50","author":[{"given":"Luna","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary Surgery, The First Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang Province, China"},{"name":"Department of Hepatobiliary Surgery, Shaoxing People\u2019s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaoli","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, The First Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianhua","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, The First Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang Province, China"},{"name":"Department of Hepatobiliary Surgery, Shaoxing People\u2019s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ling","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, The First Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang Province, China"},{"name":"Department of Hepatobiliary Surgery, Shaoxing People\u2019s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianhui","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, The First Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang Province, China"},{"name":"Department of Hepatobiliary Surgery, Shaoxing People\u2019s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8350-0227","authenticated-orcid":false,"given":"Baochun","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, The First Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang Province, China"},{"name":"Department of Hepatobiliary Surgery, Shaoxing 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