ArticleSurgical case reports2024
Intraoperative severe gastric venous congestion during total pancreatectomy with replaced common hepatic artery: a case report.
Article in Surgical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Gastric venous congestion after pancreatic surgery: A systematic review, metanalysis and suggested protocol for assessment and management.Langenbeck's archives of surgery · 2026Pooled it
- Review
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundGastric venous congestion (GVC) is one of the complications of total pancreatectomy (TP). Here, we report a case of intraoperative severe GVC during TP with a replaced common hepatic artery (RCHA). CASE PRESENTATION: A 65-year-old female patient was diagnosed with intraductal papillary mucinous carcinoma. Her CHA branched from the superior mesenteric artery as RCHA. She underwent subtotal stomach preserving TP. The tumor was resected with splenic artery (SpA) and total gastric vein transections. Severe GVC and bleeding from the stomach tube occurred intraoperatively. A strong pulsation was observed in the left gastric artery (LGA), and we suspected an increased blood flow from the celiac artery (CeA) to the LGA after SpA resection. Total gastrectomy (TG) was then performed to control the severe GVC-related bleeding. The patient was discharged without complications 19 days postoperatively.
conclusionTP with RCHA may increase the risk of severe GVC due to increased blood flow from CeA to LGA.
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