Ischemic gastropathy after distal pancreatectomy with celiac axis resection.
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概要
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Figure 1-4 are missed.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.
- Springer Japanの論文
- 2004-04-01
著者
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Shirato Hiroki
北海道大学 医学研究科耳鼻咽喉科・頭頸部外科学分野
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Hirano Satoshi
北海道大学 医学研究科腫瘍外科学分野
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KATOH Hiroyuki
Department of Radiation Oncology, Gunma University Graduate School of Medicine
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KONDO Satoshi
Department of Chemistry and Chemical Engineering, Yamagata University
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TANAKA Eiichi
Department of Radiation Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases
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Katoh Hiroyuki
Department Of Surgery Tonan Hospital
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Kondoh Satoshi
Second Department Of Surgery Hokkaido University School Of Medicine
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OKUSHIBA SHUNICHI
Department of Surgery, Tonan Hospital
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HIRANO SATOSHI
Department of Surgical Oncology, Hokkaido University Graduate School of Medicine
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MORIKAWA TOSHIAKI
Department of Surgical Oncology, Hokkaido University Graduate School of Medicine
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AMBO YOSHIYASU
Department of Surgical Oncology, Division of Cancer Medicine, Hokkaido University Graduate School of
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MAEYAMA YOSHIHIRO
Department of Surgical Oncology, Division of Cancer Medicine, Hokkaido University Graduate School of
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Tanaka Eiichi
Department Of Mechanical Science And Engineering Nagoya University
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Okushiba Shunichi
Department Of Surgery Tonan Hospital
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Hirano Satoshi
Department Of Electrical And Computer Engineering Nagoya Institute Of Technology
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Ambo Yoshiyasu
Department Of Surgical Oncology Division Of Cancer Medicine Hokkaido University Graduate School Of M
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Morikawa Toshiaki
Department Of Surgical Oncology Hokkaido University Graduate School Of Medicine
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Okushiba S
Hokkaido Univ. School Of Medicine Sapporo Jpn
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Morikawa Toshiaki
Department Of Surgical Oncology Division Of Cancer Medicine Hokkaido University Graduate School Of M
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Kawakami Hiroshi
Hokkaido Univ. Graduate School Of Medicine Sapporo Jpn
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Katoh Hiroyuki
Department Of Surgical Oncology Hokkaido University School Of Medicine
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Katoh Hiroyuki
Department Of Gastroenterology Hokkaido University Graduate School Of Medicine
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Morikawa Toshiaki
Department Of Breast And Endocrine Surgery Jikei University School Of Medicine
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Tanaka Eiichi
Department Of Mechanical Engineering Nagoya Univeisity
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Kondo Satoshi
Department Of Chemistry And Chemical Engineering Yamagata University
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Ambo Yoshiyasu
Department Of Surgery Teine-keijinkai Hospital
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Hirano Satoshi
Second Department Of Surgery Hokkaido University School Of Medicine
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Tanaka Eiichi
Department Of Electrical And Electronics Engineering Kobe University
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Tanaka Eiichi
Department Of Applied Physics And Chemistry The University Of Electro-communications
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Okushiba Shunichi
Cancer Medicine Surgical Oncology Division Of Cancer Medicine Hokkaido University Graduate School Of
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Tanaka Eiichi
Division Of Cancer Diagnostics And Therapeutics Hokkaido University Graduate School Of Medicine
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