| Nonneoplastic celiac axis occlusion in patients undergoing pancreaticoduodenectomy. | |
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MedLine Citation:
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PMID: 17320531 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Celiac artery occlusion occurs in a small percentage of the population. Identifying this is critical in planning for pancreaticoduodenectomy. We reviewed 332 patients treated with pancreaticoduodenectomy, and identified 14 patients with celiac artery occlusion. METHODS: Between 1988 and 2006, 14 (4%) of 332 patients treated with pancreaticoduodenectomy had median arcuate ligament syndrome with celiac artery occlusion (6 men, 8 women; mean age, 70 y; range, 38-80 y). Patients underwent preoperative imaging with computed tomography (n = 14) and angiography (n = 13). RESULTS: Patients were diagnosed preoperatively (n = 13) and intraoperatively (n = 1) with celiac artery occlusion. Surgeries included classic pancreaticoduodenectomy (n = 12), pylorus-preserving pancreaticoduodenectomy (n = 1), median arcuate ligament release (n = 10), and vascular reconstructions (n = 4), with no surgical mortalities and postoperative complications in 6 patients (46%). CONCLUSIONS: We report our experience of median arcuate ligament syndrome with celiac artery occlusion in 4% of our patients treated with pancreaticoduodenectomy. Patients underwent median arcuate ligament release, vascular reconstruction, and/or stenting. Angiography diagnosed celiac artery occlusion and allowed preoperative planning. Pancreatic surgeons must understand the importance of identifying celiac artery occlusion before resection to prevent severe complications. |
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Authors:
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Jeffrey M Farma; John P Hoffman |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of surgery Volume: 193 ISSN: 1879-1883 ISO Abbreviation: Am. J. Surg. Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-02-26 Completed Date: 2007-03-14 Revised Date: 2009-05-20 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
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Languages: eng Pagination: 341-4; discussion 344 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Temple University Hospital, Philadelphia, PA, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Arterial Occlusive Diseases / diagnosis, epidemiology*, surgery Celiac Artery* Female Humans Incidence Male Middle Aged Pancreaticoduodenectomy / statistics & numerical data* Philadelphia / epidemiology Retrospective Studies Survival Analysis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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