| Venous drainage from the tail of the pancreas to the lienal vein and its relationship with the distal splenorenal shunt selectivity. | |
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MedLine Citation:
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PMID: 20126897 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To identify the veins draining from the pancreatic tail to the lienal vein and its possible relationship with the loss of the distal splenorenal shunt selectivity. METHODS: Thirty eight human blocks including stomach, duodenum, spleen, colon and pancreas, removed from fresh corpses, were studied with the replenish and corrosion technique, using vinilic resin and posterior corrosion of the organic tissue with commercial hydrochloric acid, in order to study the lienal vein and its tributaries. RESULTS: The number of veins flowing directly to the splenic vein varied from seven to twenty two (14.52 + or - 3.53). Pancreatic branches of the pancreatic tail flowing to the segmentary veins of the spleen were found in 25 of the anatomical pieces studied (65.79%). These branches varied from one to four, predominating one branch (60%) and two branches (24%). CONCLUSIONS: In 65.79% of the anatomical pieces studied, the veins of the pancreatic tail flowed in segmentary branches of the splenic vein. These branches could be responsible for the loss of distal splenorenal shunt selectivity. The complete disconnection of the pancreatic tail could increase the selectivity in this procedure. |
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Authors:
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Cláudio Piras; Danilo Nagib Salomão Paulo; Isabel Cristina Andreatta Lemos Paulo; Hildegardo Rodrigues; Alcino Lázaro da Silva |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Acta cirúrgica brasileira / Sociedade Brasileira para Desenvolvimento Pesquisa em Cirurgia Volume: 25 ISSN: 1678-2674 ISO Abbreviation: Acta Cir Bras Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-03 Completed Date: 2010-11-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9103983 Medline TA: Acta Cir Bras Country: Brazil |
Other Details:
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Languages: eng Pagination: 105-10 Citation Subset: IM |
Affiliation:
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Department of Surgery, School of Sciences, EMESCAM, Espirito Santo, Brazil. danilo.vix@terra.com.br |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cadaver Collateral Circulation / physiology* Corrosion Casting / methods Hepatic Encephalopathy / etiology* Humans Pancreas / anatomy & histology, blood supply* Splenic Vein / physiology* |
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