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Ischemic gastropathy after distal pancreatectomy with celiac axis resection.
| 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)
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Submitter: 近藤 哲
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