Total gastric necrosis due to aberrant arterial anatomy and retrograde blood flow in the gastroduodenal artery: A complication following pancreaticoduodenectomy

Jin Bong, Nariman D. Karanjia, Neville Menezes, Tim R. Worthington, Robin G. Lightwood

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Patients with coeliac artery occlusion often remain asymptomatic due to the rich collateral blood supply (pancreaticoduodenal arcades) from the superior mesenteric artery. However, division of the gastroduodenal artery (GDA) during pancreaticoduodenectomy may result in compromised blood supply to the liver, stomach and spleen. Postoperative complications associated with this condition are rarely reported in the literature. We report two cases of coeliac artery occlusion encountered during pancreaticoduodenectomy, one of which was complicated by hepatic ischaemia and total gastric infarction postoperatively. Based on our experience and review of the literature, a management algorithm for coeliac artery stenosis encountered during pancreaticoduodenectomy is proposed.

Original languageEnglish
Pages (from-to)466-469
Number of pages4
JournalHPB
Volume9
Issue number6
DOIs
Publication statusPublished - 2007
Externally publishedYes

Fingerprint

Celiac Artery
Pancreaticoduodenectomy
Anatomy
Stomach
Necrosis
Arteries
Superior Mesenteric Artery
Liver
Infarction
Pathologic Constriction
Spleen
Ischemia

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Total gastric necrosis due to aberrant arterial anatomy and retrograde blood flow in the gastroduodenal artery : A complication following pancreaticoduodenectomy. / Bong, Jin; Karanjia, Nariman D.; Menezes, Neville; Worthington, Tim R.; Lightwood, Robin G.

In: HPB, Vol. 9, No. 6, 2007, p. 466-469.

Research output: Contribution to journalArticle

Bong, Jin ; Karanjia, Nariman D. ; Menezes, Neville ; Worthington, Tim R. ; Lightwood, Robin G. / Total gastric necrosis due to aberrant arterial anatomy and retrograde blood flow in the gastroduodenal artery : A complication following pancreaticoduodenectomy. In: HPB. 2007 ; Vol. 9, No. 6. pp. 466-469.
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