Evidence map›Paper›PMID 41869137›Full record

ArticleCureus2026

Whipple Procedure With Preservation of the Right Gastroepiploic Artery After an Ivor Lewis Esophagectomy.

Ergin Erginöz, Dogus C Ekdal, Ender Dulundu

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Ergin ErginözSurgery, Memorial Sloan Kettering Cancer Center, New York, USA.
Dogus C EkdalGeneral Surgery, Marmara University, Istanbul, TUR.
Ender DulunduGeneral Surgery, Istanbul University-Cerrahpaşa, Istanbul, TUR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with a history of Ivor Lewis procedure for esophageal cancer, the majority of the arteries that supply the stomach are ligated. Therefore, the blood supply of the stomach becomes dependent on the gastroduodenal artery. The arterial supply of the stomach could be compromised if a patient undergoes another surgical procedure, such as a Whipple procedure, that involves ligation of the gastroduodenal artery. A 73-year-old woman with a history of an Ivor Lewis procedure for esophageal adenocarcinoma presented to the clinic with symptoms of abdominal pain, vomiting, and jaundice. Upon workup, the CT scan revealed a lesion in the pancreatic head. She underwent a Whipple procedure with the preservation of the gastroduodenal artery, and therefore, the right gastroepiploic artery. The blood supply to the gastric pull-up reconstruction following esophagectomy is dependent mostly on the right gastroepiploic artery. During the Whipple procedure, the gastroduodenal artery is cut and ligated. This would not be suitable for patients with a history of esophagectomy, as it would compromise the blood supply to the stomach. Pancreaticoduodenectomy can be successfully performed in patients who have had an Ivor Lewis esophagectomy with the gastroduodenal and right gastroepiploic arteries preserved.

Indexed as

gastroduodenal arteryivor lewis esophagectomypancreaticoduodenectomyright gastroepiploic arterywhipple procedure

Identifiers

PMID41869137
PMCPMC13001125

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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.