A Case Report of Cancer in the Head of the Pancreas Associated with Celiac: Occlusive Disease Who Underwent Abdominal Aorta-celiac Bypass before Pancreaticoduodenectomy
We report a patient with cancer in the head of the pancreas associated with celiac occlusive disease who underwent pancreaticoduodenectomy. A 75-year-old woman was admitted to our hospital because of upper abdominal pain, back pain and jaundice. Abdominal CT, percutaneous transhepatic cholangiogram...
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Veröffentlicht in: | Nippon Shokaki Geka Gakkai zasshi 1995, Vol.28(10), pp.2022-2026 |
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container_title | Nippon Shokaki Geka Gakkai zasshi |
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creator | Ii, Toru Yasui, Toshiaki Ito, Hiroshi Mori, Kazuhiro Kamata, Toru Akimoto, Ryuichi Sodani, Hiroshi Kanno, Masahiro |
description | We report a patient with cancer in the head of the pancreas associated with celiac occlusive disease who underwent pancreaticoduodenectomy. A 75-year-old woman was admitted to our hospital because of upper abdominal pain, back pain and jaundice. Abdominal CT, percutaneous transhepatic cholangiogram and endoscopic pancreatogram revealed cancer in the head of the pancreas. Superior mesenteric angiogram demonstrated high-grade stenosis of the celiac axis at its origin, and the blood supply to the celiac artery was sustained through the gastroduodenal artery via the pancreaticoduodenal arcades from the superior mesenteric artery. Therefore a diagnosis of cancer in the head of the pancreas associated with high-grade stenosis of the celiac axis was made, and an autograft of saphenous vein was placed between the abdominal aorta and common hepatic artery cranially to the celiac axis before pancreaticoduodenectomy. The postoperative course was uneventful, and angiogram obtained on the 80thpostoperative day demonstrated patency of the graft. Our bypass method is safe because blood supply to the liver is not blocked during the operation. It also maintains curability beca use it does not obstruct the operative procedure or dissection of lymphnodes. Therefore we consider our bypass method to be useful. |
doi_str_mv | 10.5833/jjgs.28.2022 |
format | Article |
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A 75-year-old woman was admitted to our hospital because of upper abdominal pain, back pain and jaundice. Abdominal CT, percutaneous transhepatic cholangiogram and endoscopic pancreatogram revealed cancer in the head of the pancreas. Superior mesenteric angiogram demonstrated high-grade stenosis of the celiac axis at its origin, and the blood supply to the celiac artery was sustained through the gastroduodenal artery via the pancreaticoduodenal arcades from the superior mesenteric artery. Therefore a diagnosis of cancer in the head of the pancreas associated with high-grade stenosis of the celiac axis was made, and an autograft of saphenous vein was placed between the abdominal aorta and common hepatic artery cranially to the celiac axis before pancreaticoduodenectomy. The postoperative course was uneventful, and angiogram obtained on the 80thpostoperative day demonstrated patency of the graft. Our bypass method is safe because blood supply to the liver is not blocked during the operation. It also maintains curability beca use it does not obstruct the operative procedure or dissection of lymphnodes. Therefore we consider our bypass method to be useful.</description><identifier>ISSN: 0386-9768</identifier><identifier>EISSN: 1348-9372</identifier><identifier>DOI: 10.5833/jjgs.28.2022</identifier><language>jpn</language><publisher>The Japanese Society of Gastroenterological Surgery</publisher><subject>abdominal aorta-celiac bypass ; celiac occlusive disease ; pancreaticoduodenectomy</subject><ispartof>The Japanese Journal of Gastroenterological Surgery, 1995, Vol.28(10), pp.2022-2026</ispartof><rights>The Japanese Society of Gastroenterological Surg</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,4024,27923,27924,27925</link.rule.ids></links><search><creatorcontrib>Ii, Toru</creatorcontrib><creatorcontrib>Yasui, Toshiaki</creatorcontrib><creatorcontrib>Ito, Hiroshi</creatorcontrib><creatorcontrib>Mori, Kazuhiro</creatorcontrib><creatorcontrib>Kamata, Toru</creatorcontrib><creatorcontrib>Akimoto, Ryuichi</creatorcontrib><creatorcontrib>Sodani, Hiroshi</creatorcontrib><creatorcontrib>Kanno, Masahiro</creatorcontrib><title>A Case Report of Cancer in the Head of the Pancreas Associated with Celiac: Occlusive Disease Who Underwent Abdominal Aorta-celiac Bypass before Pancreaticoduodenectomy</title><title>Nippon Shokaki Geka Gakkai zasshi</title><addtitle>Jpn J Gastroenterol Surg</addtitle><description>We report a patient with cancer in the head of the pancreas associated with celiac occlusive disease who underwent pancreaticoduodenectomy. A 75-year-old woman was admitted to our hospital because of upper abdominal pain, back pain and jaundice. Abdominal CT, percutaneous transhepatic cholangiogram and endoscopic pancreatogram revealed cancer in the head of the pancreas. Superior mesenteric angiogram demonstrated high-grade stenosis of the celiac axis at its origin, and the blood supply to the celiac artery was sustained through the gastroduodenal artery via the pancreaticoduodenal arcades from the superior mesenteric artery. Therefore a diagnosis of cancer in the head of the pancreas associated with high-grade stenosis of the celiac axis was made, and an autograft of saphenous vein was placed between the abdominal aorta and common hepatic artery cranially to the celiac axis before pancreaticoduodenectomy. The postoperative course was uneventful, and angiogram obtained on the 80thpostoperative day demonstrated patency of the graft. Our bypass method is safe because blood supply to the liver is not blocked during the operation. It also maintains curability beca use it does not obstruct the operative procedure or dissection of lymphnodes. Therefore we consider our bypass method to be useful.</description><subject>abdominal aorta-celiac bypass</subject><subject>celiac occlusive disease</subject><subject>pancreaticoduodenectomy</subject><issn>0386-9768</issn><issn>1348-9372</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><recordid>eNo9kE1OwzAQhS0EElXpjgP4ACT4J7GdZRVBC6oEQrC2HHvcOCpJZUdC3J6EVt3MzJv55i0eQveU5KXi_LHr9ilnKmeEsSu0oLxQWcUlu0YLwpXIKinULVqlFBpCSiUnTRfodY1rkwB_wHGIIx78JHsLEYcejy3gLRg3b-f5fbpEMAmvUxpsMCM4_BPGFtdwCMbeoRtvDglW575EX89Pn_U2271tXur1LrOU0D5jtuS0pEJ4ySXhrClEJRtGPBAnCDAlHBSCS-8sKaUX1AEUvCCNLLj3zvMlejj52jikFMHrYwzfJv5qSvQchZ6j0EzpOYoJ35zwLo1mDxfYxDHYA_zDtBLV_DAZnOv0eSFsa6KGnv8BMQlpKA</recordid><startdate>1995</startdate><enddate>1995</enddate><creator>Ii, Toru</creator><creator>Yasui, Toshiaki</creator><creator>Ito, Hiroshi</creator><creator>Mori, Kazuhiro</creator><creator>Kamata, Toru</creator><creator>Akimoto, Ryuichi</creator><creator>Sodani, Hiroshi</creator><creator>Kanno, Masahiro</creator><general>The Japanese Society of Gastroenterological Surgery</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>1995</creationdate><title>A Case Report of Cancer in the Head of the Pancreas Associated with Celiac</title><author>Ii, Toru ; Yasui, Toshiaki ; Ito, Hiroshi ; Mori, Kazuhiro ; Kamata, Toru ; Akimoto, Ryuichi ; Sodani, Hiroshi ; Kanno, Masahiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c101n-2c5315166f737032b4697b20fe0d60e286de4637fdc057f61dee4340b743ffdf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>1995</creationdate><topic>abdominal aorta-celiac bypass</topic><topic>celiac occlusive disease</topic><topic>pancreaticoduodenectomy</topic><toplevel>online_resources</toplevel><creatorcontrib>Ii, Toru</creatorcontrib><creatorcontrib>Yasui, Toshiaki</creatorcontrib><creatorcontrib>Ito, Hiroshi</creatorcontrib><creatorcontrib>Mori, Kazuhiro</creatorcontrib><creatorcontrib>Kamata, Toru</creatorcontrib><creatorcontrib>Akimoto, Ryuichi</creatorcontrib><creatorcontrib>Sodani, Hiroshi</creatorcontrib><creatorcontrib>Kanno, Masahiro</creatorcontrib><collection>CrossRef</collection><jtitle>Nippon Shokaki Geka Gakkai zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ii, Toru</au><au>Yasui, Toshiaki</au><au>Ito, Hiroshi</au><au>Mori, Kazuhiro</au><au>Kamata, Toru</au><au>Akimoto, Ryuichi</au><au>Sodani, Hiroshi</au><au>Kanno, Masahiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Case Report of Cancer in the Head of the Pancreas Associated with Celiac: Occlusive Disease Who Underwent Abdominal Aorta-celiac Bypass before Pancreaticoduodenectomy</atitle><jtitle>Nippon Shokaki Geka Gakkai zasshi</jtitle><addtitle>Jpn J Gastroenterol Surg</addtitle><date>1995</date><risdate>1995</risdate><volume>28</volume><issue>10</issue><spage>2022</spage><epage>2026</epage><pages>2022-2026</pages><issn>0386-9768</issn><eissn>1348-9372</eissn><abstract>We report a patient with cancer in the head of the pancreas associated with celiac occlusive disease who underwent pancreaticoduodenectomy. A 75-year-old woman was admitted to our hospital because of upper abdominal pain, back pain and jaundice. Abdominal CT, percutaneous transhepatic cholangiogram and endoscopic pancreatogram revealed cancer in the head of the pancreas. Superior mesenteric angiogram demonstrated high-grade stenosis of the celiac axis at its origin, and the blood supply to the celiac artery was sustained through the gastroduodenal artery via the pancreaticoduodenal arcades from the superior mesenteric artery. Therefore a diagnosis of cancer in the head of the pancreas associated with high-grade stenosis of the celiac axis was made, and an autograft of saphenous vein was placed between the abdominal aorta and common hepatic artery cranially to the celiac axis before pancreaticoduodenectomy. The postoperative course was uneventful, and angiogram obtained on the 80thpostoperative day demonstrated patency of the graft. Our bypass method is safe because blood supply to the liver is not blocked during the operation. It also maintains curability beca use it does not obstruct the operative procedure or dissection of lymphnodes. Therefore we consider our bypass method to be useful.</abstract><pub>The Japanese Society of Gastroenterological Surgery</pub><doi>10.5833/jjgs.28.2022</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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issn | 0386-9768 1348-9372 |
language | jpn |
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source | Freely Accessible Japanese Titles (ERDB Project); Free E-Journal (出版社公開部分のみ); J-STAGE |
subjects | abdominal aorta-celiac bypass celiac occlusive disease pancreaticoduodenectomy |
title | A Case Report of Cancer in the Head of the Pancreas Associated with Celiac: Occlusive Disease Who Underwent Abdominal Aorta-celiac Bypass before Pancreaticoduodenectomy |
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