{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T15:05:10Z","timestamp":1780499110328,"version":"3.54.1"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T00:00:00Z","timestamp":1699315200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T00:00:00Z","timestamp":1699315200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Gastroenterol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Ruptured aneurysm is a serious complication of distal pancreatectomy (DP) or pancreatoduodenectomy (PD) that can be life-threatening if not treated promptly. This study aimed to examine the efficacy of a Viabahn stent graft for stopping bleeding after pancreatectomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Between April 2016 and June 2022, we performed 245 pancreatectomies in our institution. Six patients experienced postoperative bleeding and underwent endovascular treatment.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>All six cases of bleeding occurred post-PD (3.7%). The bleeding was from gastroduodenal artery (GDA) pseudoaneurysms in three patients, and Viabahn stent grafts were inserted. All three patients did not show liver function abnormalities or hepatic blood flow disorders. One patient with a Viabahn stent graft experienced rebleeding, which required further management to obtain hemostasis. Of the six cases in which there was hemorrhage, one case of bleeding from the native hepatic artery could not be managed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Using the Viabahn stent graft is an effective treatment option for postoperative bleeding from GDA pseudoaneurysms following PD. In most cases, using this device resulted in successful hemostasis, without observed abnormalities in hepatic function or blood flow.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12876-023-03022-9","type":"journal-article","created":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T14:02:01Z","timestamp":1699365721000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Endovascular treatment of postoperative hemorrhage after pancreatectomy: a retrospective study"],"prefix":"10.1186","volume":"23","author":[{"given":"Hideki","family":"Izumi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisamichi","family":"Yoshii","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rika","family":"Fujino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeya","family":"Takeo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiji","family":"Nomura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaya","family":"Mukai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Suda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosuke","family":"Tomita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunsuke","family":"Kamei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukihisa","family":"Ogawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terumitsu","family":"Hasebe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyasu","family":"Makuuchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,11,7]]},"reference":[{"key":"3022_CR1","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1186\/s12957-019-1569-9","volume":"17","author":"Y Lessing","year":"2019","unstructured":"Lessing Y, Pencovich N, Nevo N, Lubezky N, Goykhman Y, Nakache R, et al. Early reoperation following pancreaticoduodenectomy: impact on morbidity, mortality, and long-term survival. World J Surg Oncol. 2019;17:26.","journal-title":"World J Surg Oncol"},{"key":"3022_CR2","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1007\/s11605-013-2437-5","volume":"18","author":"UF Wellner","year":"2014","unstructured":"Wellner UF, Kulemann B, Lapshyn H, Hoeppner J, Sick O, Makowiec F, et al. Postpancreatectomy hemorrhage\u2014incidence, treatment, and risk factors in over 1,000 pancreatic resections. J Gastrointest Surg. 2014;18:464\u201375.","journal-title":"J Gastrointest Surg"},{"key":"3022_CR3","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1097\/MPA.0000000000000347","volume":"44","author":"BS Khalsa","year":"2015","unstructured":"Khalsa BS, Imagawa DK, Chen JI, Dermirjian AN, Yim DB, Findeiss LK. Evolution in the treatment of delayed postpancreatectomy Hemorrhage: Surgery to interventional radiology. Pancreas. 2015;44:953\u20138.","journal-title":"Pancreas"},{"key":"3022_CR4","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1007\/s00423-013-1047-8","volume":"398","author":"B Darnis","year":"2013","unstructured":"Darnis B, Lebeau R, Chopin-Laly X, Adham M. Postpancreatectomy Hemorrhage (PPH): predictors and management from a prospective database. Langenbecks Arch Surg. 2013;398:441\u20138.","journal-title":"Langenbecks Arch Surg"},{"key":"3022_CR5","doi-asserted-by":"publisher","first-page":"1055","DOI":"10.1007\/s11605-011-1427-8","volume":"15","author":"D Roulin","year":"2011","unstructured":"Roulin D, Cerantola Y, Demartines N, Sch\u00e4fer M. Systematic review of delayed postoperative Hemorrhage after pancreatic resection. J Gastrointest Surg. 2011;15:1055\u201362.","journal-title":"J Gastrointest Surg"},{"key":"3022_CR6","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1159\/000228245","volume":"26","author":"HK Wei","year":"2009","unstructured":"Wei HK, Wang SE, Shyr YM, Tseng HS, Tsai WC, Chen TH, et al. Risk factors for post-pancreaticoduodenectomy bleeding and finding an innovative approach to treatment. Dig Surg. 2009;26:297\u2013305.","journal-title":"Dig Surg"},{"key":"3022_CR7","doi-asserted-by":"publisher","first-page":"554","DOI":"10.1016\/j.jamcollsurg.2005.05.007","volume":"201","author":"YW Tien","year":"2005","unstructured":"Tien YW, Lee PH, Yang CY, Ho MC, Chiu YF. Risk factors of massive bleeding related to pancreatic leak after pancreaticoduodenectomy. J Am Coll Surg. 2005;201:554\u20139.","journal-title":"J Am Coll Surg"},{"key":"3022_CR8","doi-asserted-by":"publisher","first-page":"1293","DOI":"10.1016\/j.gassur.2005.08.003","volume":"9","author":"F Makowiec","year":"2005","unstructured":"Makowiec F, Riediger H, Euringer W, Uhl M, Hopt UT, Adam U. Management of delayed visceral arterial bleeding after pancreatic head resection. J Gastrointest Surg. 2005;9:1293\u20139.","journal-title":"J Gastrointest Surg"},{"key":"3022_CR9","doi-asserted-by":"publisher","first-page":"3337","DOI":"10.1007\/s00261-020-02452-3","volume":"45","author":"L Cui","year":"2020","unstructured":"Cui L, Kong L, Bai YH, Li XH, Wang XQ, Hao JJ, et al. Covered stent placement for hepatic artery pseudoaneurysm. Abdom Radiol (NY). 2020;45:3337\u201341.","journal-title":"Abdom Radiol (NY)"},{"key":"3022_CR10","doi-asserted-by":"publisher","first-page":"1232","DOI":"10.1007\/s00595-020-02149-6","volume":"51","author":"Y Shirai","year":"2021","unstructured":"Shirai Y, Furukawa K, Ashida H, Gocho T, Onda S, Hamura R, et al. Endovascular micro-arterial stenting for arterial pseudoaneurysm after pancreatic Surgery. Surg Today. 2021;51:1232\u20136.","journal-title":"Surg Today"},{"key":"3022_CR11","doi-asserted-by":"publisher","first-page":"4995","DOI":"10.1007\/s00261-021-03123-7","volume":"46","author":"YM Lin","year":"2021","unstructured":"Lin YM, Lin EY, Tseng HS, Lee RC, Huang HE, Wang SE, et al. Preventive covered stent placement at the gastroduodenal artery stump in angiogram-negative sentinel Hemorrhage after pancreaticoduodenectomy. Abdom Radiol (NY). 2021;46:4995\u20135006.","journal-title":"Abdom Radiol (NY)"},{"key":"3022_CR12","doi-asserted-by":"publisher","first-page":"e41","DOI":"10.1002\/jhbp.1116","volume":"29","author":"S Sano","year":"2022","unstructured":"Sano S, Ito T, Ihara N. Stent graft migration with massive Hemorrhage following pancreaticoduodenectomy: a serious complication of endovascular pseudoaneurysm repair. J Hepatobiliary Pancreat Sci. 2022;29:e41\u20133.","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"3022_CR13","doi-asserted-by":"publisher","first-page":"845","DOI":"10.1097\/00000658-194406000-00004","volume":"119","author":"CG Child","year":"1944","unstructured":"Child CG. Pancreaticojejunostomy and other problems associated with the surgical management of carcinoma involving the head of the pancreas: report of five additional cases of radical pancreaticoduodenectomy. Ann Surg. 1944;119:845\u201355.","journal-title":"Ann Surg"},{"key":"3022_CR14","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1016\/j.surg.2016.11.014","volume":"161","author":"C Bassi","year":"2017","unstructured":"Bassi C, Marchegiani G, Dervenis C, Sarr M, Abu Hilal M, Adham M, et al. The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 years after. Surgery. 2017;161:584\u201391.","journal-title":"Surgery"},{"key":"3022_CR15","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1159\/000460263","volume":"35","author":"WG Wang","year":"2018","unstructured":"Wang WG, Fu L, Babu SR, Wang L, Liang CP, Tian BL. Incidence of and risk factors and reinterventions for post-pancreatoduodenectomy Hemorrhage: retrospective analysis. Dig Surg. 2018;35:19\u201327.","journal-title":"Dig Surg"},{"key":"3022_CR16","doi-asserted-by":"publisher","first-page":"2815693","DOI":"10.1155\/2016\/2815693","volume":"2016","author":"F Gao","year":"2016","unstructured":"Gao F, Li J, Quan S, Li F, Ma D, Yao L, et al. Risk factors and treatment for Hemorrhage after pancreaticoduodenectomy: a case series of 423 patients. BioMed Res Int. 2016;2016:2815693.","journal-title":"BioMed Res Int"},{"key":"3022_CR17","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1177\/1457496916631854","volume":"106","author":"D Ansari","year":"2017","unstructured":"Ansari D, Tingstedt B, Lindell G, Keussen I, Ansari D, Andersson R. Hemorrhage after major pancreatic resection: incidence, risk factors, management, and outcome. Scand J Surg. 2017;106:47\u201353.","journal-title":"Scand J Surg"},{"key":"3022_CR18","doi-asserted-by":"publisher","first-page":"1949","DOI":"10.1007\/s00423-022-02440-9","volume":"407","author":"C Vilhav","year":"2022","unstructured":"Vilhav C, Fagman JB, Holmberg E, Naredi P, Engstr\u00f6m C. C-reactive protein identifies patients at risk of postpancreatectomy Hemorrhage. Langenbecks Arch Surg. 2022;407:1949\u201359.","journal-title":"Langenbecks Arch Surg"},{"key":"3022_CR19","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1016\/S1072-7515(98)00032-5","volume":"186","author":"PU Reber","year":"1998","unstructured":"Reber PU, Baer HU, Patel AG, Wildi S, Triller J, B\u00fcchler MW. Superselective microcoil embolization: treatment of choice in high-risk patients with extrahepatic pseudoaneurysms of the hepatic arteries. J Am Coll Surg. 1998;186:325\u201330.","journal-title":"J Am Coll Surg"},{"key":"3022_CR20","first-page":"2208","volume":"50","author":"YS Yoon","year":"2003","unstructured":"Yoon YS, Kim SW, Her KH, Park YC, Ahn YJ, Jang JY, et al. Management of postoperative Hemorrhage after pancreatoduodenectomy. Hepatogastroenterology. 2003;50:2208\u201312.","journal-title":"Hepatogastroenterology"},{"key":"3022_CR21","doi-asserted-by":"publisher","first-page":"932","DOI":"10.1007\/s005950170039","volume":"31","author":"H Sugimoto","year":"2001","unstructured":"Sugimoto H, Kaneko T, Ishiguchi T, Takai K, Ohta T, Yagi Y, et al. Delayed rupture of a pseudoaneurysm following pancreatoduodenectomy: report of a case. Surg Today. 2001;31:932\u20135.","journal-title":"Surg Today"},{"key":"3022_CR22","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.surg.2007.02.001","volume":"142","author":"M Wente","year":"2007","unstructured":"Wente M, Veit J, Bassi C, Dervenis C, Fingerhut A, Gouma D, et al. Postpancreatectomy Hemorrhage (PPH): an International Study Group of pancreatic Surgery (ISGPS) definition. Surgery. 2007;142:20\u20135.","journal-title":"Surgery"},{"key":"3022_CR23","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.1001\/archsurg.143.10.1001","volume":"143","author":"P Limongelli","year":"2008","unstructured":"Limongelli P, Khorsandi S, Pai M, Jackson J, Tait P, Tierris J, et al. Management of delayed postoperative Hemorrhage after pancreaticoduodenectomy: a meta-analysis. Arch Surg. 2008;143:1001\u20137.","journal-title":"Arch Surg"},{"key":"3022_CR24","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1001\/archsurg.137.1.55","volume":"137","author":"E Otah","year":"2002","unstructured":"Otah E, Cushin BJ, Rozenblit GN, Neff R, Otah KE, Cooperman AM. Visceral artery pseudoaneurysms following pancreatoduodenectomy. Arch Surg. 2002;137:55\u20139.","journal-title":"Arch Surg"},{"key":"3022_CR25","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1016\/j.jvir.2010.11.020","volume":"22","author":"S Hur","year":"2011","unstructured":"Hur S, Yoon CJ, Kang SG, Dixon R, Han HS, Yoon YS, et al. Transcatheter arterial embolization of gastroduodenal artery stump pseudoaneurysms after pancreaticoduodenectomy: safety and efficacy of two embolization techniques. J Vasc Interv Radiol. 2011;22:294\u2013301.","journal-title":"J Vasc Interv Radiol"},{"key":"3022_CR26","doi-asserted-by":"publisher","first-page":"E435","DOI":"10.1111\/ans.13976","volume":"88","author":"RF Staerkle","year":"2018","unstructured":"Staerkle RF, Gundara JS, Hugh TJ, Maher R, Steinfort B, Samra JS. Management of recurrent bleeding after pancreatoduodenectomy. ANZ J Surg. 2018;88:E435\u20139.","journal-title":"ANZ J Surg"},{"key":"3022_CR27","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1016\/j.jvir.2015.09.024","volume":"27","author":"KC Ching","year":"2016","unstructured":"Ching KC, Santos E, McCluskey KM, Orons PD, Bandi R, Friend CJ, et al. Covered stents and coil embolization for treatment of postpancreatectomy arterial Hemorrhage. J Vasc Interv Radiol. 2016;27:73\u20139.","journal-title":"J Vasc Interv Radiol"},{"key":"3022_CR28","doi-asserted-by":"publisher","first-page":"1122","DOI":"10.1007\/s00268-005-7900-3","volume":"29","author":"A Maeda","year":"2005","unstructured":"Maeda A, Ebata T, Kanemoto H, Matsunaga K, Bando E, Yamaguchi S, et al. Omental flap in pancreaticoduodenectomy for protection of splanchnic vessels. World J Surg. 2005;29:1122\u20136.","journal-title":"World J Surg"},{"key":"3022_CR29","doi-asserted-by":"publisher","first-page":"237","DOI":"10.4174\/astr.2019.96.5.237","volume":"96","author":"Y You","year":"2019","unstructured":"You Y, Choi SH, Choi DW, Heo JS, Han IW, Han S, et al. Long-term clinical outcomes after endovascular management of ruptured pseudoaneurysm in patients undergoing pancreaticoduodenectomy. Ann Surg Treat Res. 2019;96:237\u201349.","journal-title":"Ann Surg Treat Res"},{"key":"3022_CR30","doi-asserted-by":"publisher","first-page":"1373","DOI":"10.1016\/j.jvs.2016.05.071","volume":"64","author":"N Hassold","year":"2016","unstructured":"Hassold N, Wolfschmidt F, Dierks A, Klein I, Bley T, Kickuth R. Effectiveness and outcome of endovascular therapy for late-onset postpancreatectomy Hemorrhage using covered stents and embolization. J Vasc Surg. 2016;64:1373\u201383.","journal-title":"J Vasc Surg"},{"key":"3022_CR31","doi-asserted-by":"publisher","first-page":"1539","DOI":"10.1016\/j.jvir.2014.06.023","volume":"25","author":"SJ Lim","year":"2014","unstructured":"Lim SJ, Park KB, Hyun DH, Do YS, Park HS, Shin SW, et al. Stent graft placement for postsurgical Hemorrhage from the hepatic artery: clinical outcome and CT findings. J Vasc Interv Radiol. 2014;25:1539\u201348.","journal-title":"J Vasc Interv Radiol"},{"key":"3022_CR32","doi-asserted-by":"publisher","first-page":"20220022","DOI":"10.1259\/bjr.20220022","volume":"95","author":"H Min","year":"2022","unstructured":"Min H, Yoon CJ, Lee JH, Choi WS, Yeo JB, Yoon YS, et al. Covered stent placement for gastroduodenal artery stump Hemorrhage after pancreaticoduodenectomy: long-term patency and risk factor of stent failure. Br J Radiol. 2022;95:20220022.","journal-title":"Br J Radiol"}],"container-title":["BMC Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-023-03022-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12876-023-03022-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-023-03022-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T14:04:42Z","timestamp":1699365882000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcgastroenterol.biomedcentral.com\/articles\/10.1186\/s12876-023-03022-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,7]]},"references-count":32,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["3022"],"URL":"https:\/\/doi.org\/10.1186\/s12876-023-03022-9","relation":{},"ISSN":["1471-230X"],"issn-type":[{"value":"1471-230X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,7]]},"assertion":[{"value":"16 May 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 October 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 November 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study conformed to the ethical principles of the Declaration of Helsinki, with approval from the institutional review board at Tokai University (Approval Number 22R-239). Written informed consent was obtained from the patient for this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not Applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"379"}}