Document Detail


Effect of a portal venous stent for gastrointestinal hemorrhage from jejunal varices caused by portal hypertension after pancreatoduodenectomy.
MedLine Citation:
PMID:  15754107     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report herein the case of a 64-year-old man successfully treated by portal venous stent placement for repeated gastrointestinal bleeding associated with jejunal varices. He was admitted to our hospital with melena 8 years after having a pancreatoduodenectomy for carcinoma of the papilla of Vater. From portogram findings showing severe portal vein (PV) stenosis and dilated collaterals through the jejunal vein of the Roux-en-Y loop, jejunal varices resulting from PV stenosis were suspected as the cause of the melena. A metallic stent was placed in the PV following percutaneous transhepatic PV angioplasty. Although the cure of hemorrhagic jejunal varices caused by PV stenosis is difficult in patients who have undergone major abdominal surgery, patency of the stent in this patient has been maintained for 32 months without gastrointestinal hemorrhage. Metallic stent placement is recommended as a useful treatment for PV stenosis that is less invasive than open surgery.
Authors:
Shigeyasu Ota; Shohachi Suzuki; Hiroshi Mitsuoka; Naoki Unno; Shoichi Inagawa; Yasuo Takehara; Takanori Sakaguchi; Hiroyuki Konno; Satoshi Nakamura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of hepato-biliary-pancreatic surgery     Volume:  12     ISSN:  0944-1166     ISO Abbreviation:  J Hepatobiliary Pancreat Surg     Publication Date:  2005  
Date Detail:
Created Date:  2005-03-08     Completed Date:  2005-10-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431940     Medline TA:  J Hepatobiliary Pancreat Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  88-92     Citation Subset:  IM    
Affiliation:
Second Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan.
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MeSH Terms
Descriptor/Qualifier:
Esophageal and Gastric Varices / complications*,  etiology
Gastrointestinal Hemorrhage / etiology,  surgery*
Humans
Hypertension, Portal / complications*
Jejunum / blood supply*
Male
Middle Aged
Pancreaticoduodenectomy
Portal Vein
Portography
Stents*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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