Post-Pancreatectomy Bleeding: Treatment & Management

Management of post-operative bleeding after pancreatectomy depends on severity and source.

Conservative Measures

• Fluid resuscitation and blood transfusion to restore volume.
• Medications (vasopressin, somatostatin) to constrict vessels.
• Endoscopic treatment (ERCP) with clotting agents or stents.

Surgical Intervention

• Re-exploration for direct hemostasis.
• Vascular reconstruction for major arterial bleeding.
• Pancreas packing with absorbable material.
• Partial or distal pancreatectomy for persistent pancreatic bleeding.

Close monitoring, early intervention, and a multidisciplinary approach are essential for successful outcomes.