Analysis of risk factors for post pancreatectomy hemorrhage: a report of 236 cases        SONG Jun-min，XING Bao-cai.  Department of Hepatobiliary & Pancreatic Surgery Unit Ⅰ, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100142, China
Corresponding  author ：XING Bao-cai，E-mail：xingbaocai88@sina.com
Abstract    Objective    To investigate the risk factors, diagnosis and treatment for post pancreatectomy hemorrhage（PPH）. Methods    The clinical data of patients performed pancreatic surgery between 2003 and 2007 at Beijing Cancer Hospital were analyzed retrospectively. The data included bleeding risk factors, clinical presentation, management and outcome.  Results    Among 236 cases, PPH occurred in 33 cases. Four of 33 cases were performed angiography and embolism. Seven cases performed surgery. One case performed endoscopy. Six cases died. Others performed medical treatment.  Conclusion    Pyoperitoneum, pancreatic fistula and surgery choice are important factors in the pathogenesis of PPH, other than factors such as sex, age, pathology, delayed gastric emptying, etc. Early drain is essential after pancreatic fistula. Angiography should be considered firstly to confirm the bleeding source.