Document Detail


Ischemic gastropathy after distal pancreatectomy with celiac axis resection.
MedLine Citation:
PMID:  15052449     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Stomach-preserving distal pancreatectomy with en bloc resection of the celiac, common hepatic, and left gastric arteries is a radical operation performed for locally advanced cancer of the pancreatic body. However, it is not known whether the collateral pathways that develop immediately from the superior mesenteric artery to the gastroduodenal and hepatic arteries provide sufficient blood flow to support the hepatobiliary system and the stomach. This article examines the ischemic gastropathy that can occur after this procedure and identifies the predisposing conditions. METHODS: Between 1997 and 2001, nine patients underwent stomach-preserving distal pancreatectomy with en bloc resection of the celiac, common hepatic, and left gastric arteries. Concomitant resection of the right gastric artery or gastroduodenal artery was performed due to cancer infiltration in three patients. RESULTS: Irregular, shallow, and wide ulcerations thought to be ischemic in origin developed in these three patients, but all the ulcerations healed in 1-2 weeks with antiulcer medication. None of the other six patients had evidence of gastric ischemia. CONCLUSIONS: Ischemic gastropathy is rare after distal pancreatectomy with celiac axis resection alone; however, division of additional arteries supplying the stomach may predispose to ischemic gastropathy.
Authors:
Satoshi Kondo; Hiroyuki Katoh; Satoshi Hirano; Yoshiyasu Ambo; Eiichi Tanaka; Yoshihiro Maeyama; Toshiaki Morikawa; Shunichi Okushiba
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  34     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2004  
Date Detail:
Created Date:  2004-03-30     Completed Date:  2004-07-22     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  337-40     Citation Subset:  IM    
Affiliation:
Department of Surgical Oncology, Division of Cancer Medicine, Hokkaido University Graduate School of Medicine, N15 W7, Kita-ku, 060-8638, Sapporo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Celiac Plexus / surgery*
Collateral Circulation
Humans
Ischemia / etiology*
Pancreatectomy* / adverse effects,  methods
Pancreatic Neoplasms / surgery
Stomach / blood supply*
Stomach Ulcer / etiology

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


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