Criteria of Yekebas et al for a Sentinel Bleed Prior to Postpancreatectomy Hemorrhage

Yekebas et al defined a sentinel bleed in a patient with postpancreatectomy hemorrhage. The authors are from the University of Hamburg.

Patient selection: status post pancreatic resection

Criteria for a sentinel bleed - all of the following:

(1) discrete but evident blood loss (hematemesis, melena, nasogastric tube, surgical drain)

(2) decrease in hemoglobin concentration <= 1.5 g/dL

(3) spontaneous cessation of hemorrhage without transfusion

(4) symptom-free interval for >= 12 hours followed by rehemorrhage

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