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language
eng
Author
Yano, Seiji
Yamauchi, Masanobu
Sumi, Shoichiro
Inoue, Yasusi
Iwasaki, Shinji
Ooishi, Tatsuro
Nio, Yoshinori
Tamura, Katsuhiro
Description
Blood flow to the liver, spleen, stomach and pancreas must be preserved during and after pylorus preserving pancreatoduodenectomy (PPPD) in patients with celiac axis (CeA) occlusion. We report a patient with ampullary carcinoma and CeA occlusion in whom PPPD was successfully performed. Preoperative angiography demonstrated complete obstruction of the CeA. The territorial blood flow to the celiac organs was supplied by the superior mesenteric artery via the gastroduodenal artery (GDA). This required a bypass from the aorta to the GDA using a saphenous vein graft (SVG). A PPPD was performed after the bypass was created. The postoperative course was uneventful. Follow-up angiography showed patency of the SVG. In patients with CeA occlusion who requre PPPD, a bypass from the aorta to the GDA using SVG may be performed safely and easily.
Journal Title
Shimane journal of medical science
Volume
17
Issue
1
Start Page
1
End Page
4
ISSN
03865959
ISSN(Online)
24332410
Published Date
1999-06-01
NCID
AA00841586
Publisher Aalternative
Shimane Medical University
NII Type
Departmental Bulletin Paper
Format
PDF
Text Version
出版社版
OAI-PMH Set
Faculty of Medicine
Remark
http://ci.nii.ac.jp/vol_issue/nels/AA00841586_jp.html
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