Evaluation of preoperative risk factors for postpancreatectomy hemorrhage.

ABSTRACT: PURPOSE:To investigate the risk factors for post-pancreatectomy hemorrhage (PPH). METHODS:The incidence, outcome, and risk factors for PPH were evaluated in 1169 patients who underwent pancreatectomy. RESULTS:The incidence and mortality rates of PPH were 3% and 11% in all pancreatectomies, 4% and 11% in pancreatoduodenectomy, 1% and 20% in distal pancreatectomy, and 3% and 0% in total pancreatectomy, respectively. Male sex [odds ratio (OR) 2.32], body mass index (BMI) ≥ 25 kg/m2 (OR 3.70), absence of diabetes mellitus (DM; HbA1c ≤ 6.2%; OR 3.62), and pancreatoduodenectomy (OR 3.06) were risk factors for PPH after all pancreatectomies. The PPH incidence was 0%, 1%, 2%, 6%, and 20% in patients with risk scores of 0 (n = 65), 1 (n = 325), 2 (n = 455), 3 (n = 299), and 4 (n = 25), respectively

SUBMITTER: Izumo W 

PROVIDER: S-EPMC6935390 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature