Evidence map›Paper›PMID 38951233›Full record

ArticleAbdominal radiology (New York)2024

Assessment of arterial supply to the stomach after bariatric surgery using multidetector CT arteriography.

Adham Khalil, Erin Gomez, Prateek C Gowda, Robert M Weinstein, Hänel Watkins Eberly, Frank J Prologo, James H Birkholz, Nabeel E Sarwani, Eric Friedberg, Ann M Rogers and 1 more

Abstract readMulticenter Study
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In one paragraph

Article in Abdominal radiology (New York), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Adham KhalilThe Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed Tower 7203, Baltimore, MD, 21287, USA.
Erin GomezThe Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed Tower 7203, Baltimore, MD, 21287, USA.
Prateek C GowdaJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Robert M WeinsteinJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Hänel Watkins EberlyPenn State College of Medicine, Hershey, PA, USA.
Frank J PrologoDepartment of Biology, University of Georgia, Athens, GA, USA.
James H BirkholzDepartment of Radiology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Nabeel E SarwaniDepartment of Radiology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Eric FriedbergDepartment of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Ann M RogersDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Clifford R WeissThe Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed Tower 7203, Baltimore, MD, 21287, USA. cweiss@jhmi.edu.ORCID 0000-0003-2180-1731

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe residual arterial supply to the stomach after bariatric surgery via a systematic arterial-phase CT assessment approach that can aid in diagnosis and treatment of postoperative complications and facilitate planning for future procedures.

methodsArterial-phase CT of 46 patients who underwent Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) at 3 academic institutions were retrospectively reviewed to assess patency of left gastric artery (LGA), right gastric artery (RGA), gastroepiploic artery (GEA), and left inferior phrenic artery (LIPA) and presence of gastric perforators.

resultsIn 25 RYGB and 21 SG patients, mean diameters were LGA 2.2 ± 0.4 mm, RGA 1.6 ± 0.5 mm, and GEA 1.7 ± 0.4 mm. On RYGB scans, all LGAs, RGAs, and 24/25 (96%) of GEAs were identified. Excellent to good patency was seen in 20/25 (80%) LGAs, 21/25 (84%) RGAs, and 23/24 (96%) GEAs. On SG scans, all LGAs, 18/21 (86%) of RGAs, and 20/21 (95%) GEAs were identified. Excellent to good patency was seen in 17/21 (81%) LGAs, 15/18 (83%) RGAs, and 20/20 (100%) GEAs. In terms of gastric perforators, LGA supply was seen on 23/25 (92%) of RYGB and 17/17 (100%) of SG scans. RGA supply was seen on 13/21 (62%) RYGB and 9/18 (50%) SG scans. GEA supply was seen on 19/23 (83%) RYGB scans. No gastric supply via GEA was seen on SG scans.

conclusionIn this study, arterial supply to the stomach through the LGA was consistently identified in all RYGB and SG cases, indicating an uncomplicated surgical approach with regard to preserving the LGA. Dedicated CT angiography protocol or catheter-directed angiography is recommended for accurate and comprehensive assessment of the gastric blood supply, particularly before surgical re-intervention.

Indexed as

Multidetector Computed TomographyStomachAdultBariatric SurgeryComputed Tomography AngiographyContrast MediaFemaleGastrectomyGastric ArteryHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesContrast MediaBariatric surgeryComputed tomographyVascular patency

Identifiers

PMID38951233

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.