Evidence map›Paper›PMID 40616248›Full record

ArticleJournal of hepato-biliary-pancreatic sciences2025

A Risk Analysis for Ischemic Necrosis of the Remnant Stomach After Distal Pancreatectomy in Patients With Previous Distal Gastrectomy: A Multicenter Retrospective Survey by the Japanese Society of Pancreatic Surgery.

Takashi Kishi, Yoshitsugu Tajima, Hikota Hayashi, Yasunari Kawabata, Kenichiro Uemura, Minako Nagai, Kohei Nishio, Kengo Fukuzawa, Shintaro Yagi, Masaaki Hidaka

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of hepato-biliary-pancreatic sciences, 2025. 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

2 · The registry

The trial behind it

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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

10 authors.

Takashi KishiDepartment of General and Digestive Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.ORCID https://orcid.org/0009-0007-2242-7522
Yoshitsugu TajimaDepartment of General and Digestive Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.
Hikota HayashiDepartment of General and Digestive Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.ORCID https://orcid.org/0000-0002-1583-7722
Yasunari KawabataDepartment of General and Digestive Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.
Kenichiro UemuraDepartment of Surgery, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Japan.ORCID https://orcid.org/0000-0003-0003-6268
Minako NagaiDepartment of Surgery, Nara Medical University, Nara, Japan.ORCID https://orcid.org/0000-0003-2102-1276
Kohei NishioDepartment of Hepatobiliary-Pancreatic Surgery, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.ORCID https://orcid.org/0000-0002-0480-7640
Kengo FukuzawaDepartment of Surgery, Oita Red Cross Hospital, Oita, Japan.
Shintaro YagiDepartment of Hepato-Biliary-Pancreatic Surgery and Transplantation, Kanazawa University, Kanazawa, Ishikawa, Japan.ORCID https://orcid.org/0000-0001-7465-5761
Masaaki HidakaDepartment of General and Digestive Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.ORCID https://orcid.org/0000-0001-8191-6405

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

background/purposeThe remnant stomach after distal gastrectomy (DG) which receives its blood supply mainly from the splenic artery (SPA), is at high risk for gastric ischemia following distal pancreatectomy (DP). We investigated the risk factors for ischemic necrosis of the remnant stomach (INS) during or after DP in DG patients. PATIENTS/

methodsWe collected 414 patients who underwent DP after DG between July 2009 and December 2019 by distributing questionnaires to members of the Japanese Society of Pancreatic Surgery (JSPS) in 2020, and the risk factors for INS were analyzed in 364 eligible patients.

resultsINS developed in 17 (4.7%) patients. A multivariate logistic regression analysis revealed that dissection of the left inferior phrenic artery (LIPA) during DP (odds ratio [OR] 51.9, p < 0.001), current DP for pancreatic cancer (OR 6.19, p = 0.017), and previous DG for gastric cancer (OR 6.12, p = 0.017) were independent risk factors for INS.

conclusionsPreservation of the LIPA is necessary to avoid INS when DP is performed in DG patients. Additionally, careful surgical management is required in patients undergoing DP for pancreatic cancer and who have undergone DG for gastric cancer because they are candidates for INS after DP.

Indexed as

GastrectomyGastric StumpIschemiaPancreatectomyPancreatic NeoplasmsPostoperative ComplicationsStomach NeoplasmsAgedFemaleHumansJapanMaleMiddle AgedNecrosisRetrospective StudiesRisk Assessmentdistal pancreatectomy after distal gastrectomyischemic necrosispredictive risk factorremnant stomach

Identifiers

PMID40616248
PMCPMC12466842

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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.