ArticleSurgical and radiologic anatomy : SRA2026
Anastomosis of the dorsal pancreatic artery and first jejunal artery forming a pancreaticojejunal arcade: a clinically significant Bühler-type celiac-mesenteric collateral.
Article in Surgical and radiologic anatomy : SRA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
purposeAlthough anastomoses between the dorsal pancreatic artery (DPA) and superior mesenteric artery (SMA) branches are well known, a direct end-to-end DPA–first jejunal artery (FJA) connection has never been described. We report this novel vascular variant and evaluate its anatomical and clinical relevance.
methodsA case of abdominal anatomy. The anatomical characteristics of the celiac trunk (CeT) (including its branches) and the DPA were documented in a 68-year-old male specimen.
resultsThe DPA originated from the common hepatic artery (CHA) and descended posterior to the pancreas. Typical pancreaticoduodenal (PD) arcades were absent. Instead, the DPA formed a direct end-to-end anastomosis with the FJA, which arose anomalously from the right anterolateral aspect of the SMA, contrary to its typical left‒sided origin. This created a continuous arterial channel between the pancreatic body and proximal jejunum, termed the pancreaticojejunal (PJ) arcade. Unlike previously reported DPA–SMA collaterals limited to the duodenum, this is the first DPA–FJA anastomosis extending celiac–mesenteric collateral flow beyond the ligament of Treitz.
conclusionThis PJ arcade represents a functionally significant, Bühler-type foregut–midgut collateral. Its diameter is significantly larger than that of the arc of Bühler, and its inadvertent ligation during pancreaticoduodenectomy or vascular surgery may compromise dual perfusion territories. Preoperative computed tomography (CT) angiography should be considered to identify such variants.
Indexed as
Identifiers
41874726What OpenQuestion holds
Registered trials
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.