Post-Pancreatectomy Hemorrhage (PPH) can be a serious complication after pancreatic surgery. A number of risk factors can help to identify a patient who may be at increased risk for serious bleeding.
Patient selection: post-pancreatectomy
Risk factors for post-pancreatectomy hemorrhage:
(1) older age (specific cut-off not given; will user > 60 years in the implementation)
(2) malnutrition (as indicated by a high Nutritional Risk Index)
(3) pancreatic fistula
(4) pancreatodudodenectomy (Whipple's procedure)
(5) anticoagulation or antithrombotic therapy
(6) intraperitoneal infectious complication
(7) high serum total bilirubin
(8) arterial injury including pseudoaneurysm
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