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Ischemic gastropathy after distal pancreatectomy with celiac axis resection.

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Title: Ischemic gastropathy after distal pancreatectomy with celiac axis resection.
Authors: Kondo, Satoshi Browse this author →KAKEN DB
Katoh, Hiroyuki Browse this author
Hirano, Satoshi Browse this author
Ambo, Yoshiyasu Browse this author
Tanaka, Eiichi Browse this author
Maeyama, Yoshihiro Browse this author
Morikawa, Toshiaki Browse this author
Okushiba, Shunichi Browse this author
Keywords: Cancer of pancreatic body
Gastric ulcer
Applebys operation
Celiac artery resection
Issue Date: Apr-2004
Publisher: Springer Japan
Journal Title: Surgery Today
Volume: 34
Issue: 4
Start Page: 337
End Page: 340
Publisher DOI: 10.1007/s00595-003-2707-z
PMID: 15052449
Abstract: 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.
Description: Figure 1-4 are missed.
Rights: The original publication is available at www.springerlink.com
Type: article (author version)
URI: http://hdl.handle.net/2115/15879
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 近藤 哲

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