|
Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Medicine / Faculty of Medicine >
Peer-reviewed Journal Articles, etc >
Treatment of bleeding from a portion of pancreatojejunostomy after pancreaticoduodenectomy with division of the splenic vein : two case reports
This item is licensed under:Creative Commons Attribution 4.0 International
| Title: | Treatment of bleeding from a portion of pancreatojejunostomy after pancreaticoduodenectomy with division of the splenic vein : two case reports |
| Authors: | Kushiya, Hiroki Browse this author | | Noji, Takehiro Browse this author →KAKEN DB | | Abo, Daisuke Browse this author →KAKEN DB | | Soyama, Takeshi Browse this author →KAKEN DB | | Tanaka, Kimitaka Browse this author →KAKEN DB | | Nakanishi, Yoshitsugu Browse this author →KAKEN DB | | Asano, Toshimichi Browse this author →KAKEN DB | | Nakamura, Toru Browse this author →KAKEN DB | | Tsuchikawa, Takahiro Browse this author →KAKEN DB | | Okamura, Keisuke Browse this author →KAKEN DB | | Hirano, Satoshi Browse this author →KAKEN DB |
| Keywords: | Pancreaticoduodenectomy | | Left-sided portal hypertension | | Interventional radiology | | Intestinal bleeding |
| Issue Date: | 8-Aug-2019 |
| Publisher: | Springer (SpringerOpen) |
| Journal Title: | Surgical case reports |
| Volume: | 5 |
| Issue: | 1 |
| Start Page: | 128 |
| Publisher DOI: | 10.1186/s40792-019-0687-5 |
| PMID: | 31396775 |
| Abstract: | Background There is no definitive strategy for gastrointestinal bleeding due to left-sided portal hypertension after pancreaticoduodenectomy (PD) for pancreatic cancer (PC) with concomitant portal vein resection (PVR). Case presentation Case 1: A 70-year-old woman underwent a PD for PC with PVR. Seven years after her surgery, she suffered severe anemia with suspected gastrointestinal bleeding. Computed tomography scan (CT) revealed varices at a portion of the pancreaticojejunostomy (PJ). Angiography revealed that splenic venous flow drained into the varices and then into the portal vein. A diagnosis of bleeding varices of the PJ due to left-sided portal hypertension was made. Following a partial splenic artery embolization, her anemia improved. Case 2: An 80-year-old male underwent a PD for pancreatic head cancer combined with resection of the confluence of the portal and splenic veins with a reconstruction between the portal and superior mesenteric veins. Eighteen months after his surgery, he developed melena with negative endoscopy findings in his large and small bowel. CT revealed varices at the site of the PJ that communicated with the jejunal and portal veins. He underwent obliteration of the varices via a trans-portal-venous approach. As a result, he remained without melena until he died of PC 17 months after the embolization. Conclusions Left-sided portal hypertension following a PD with bleeding varices can be treated by interventional radiology with minimal invasiveness. |
| Rights: | https://creativecommons.org/licenses/by/4.0/ |
| Type: | article |
| URI: | http://hdl.handle.net/2115/75509 |
| Appears in Collections: | 国際連携研究教育局 : GI-CoRE (Global Institution for Collaborative Research and Education : GI-CoRE) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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)
|
|
