Gastric salvage after venous congestion during major pancreatic resections: A series of three cases.
Ann Hepatobiliary Pancreat Surg
; 28(1): 99-103, 2024 Feb 29.
Article
en En
| MEDLINE
| ID: mdl-38151253
ABSTRACT
Pancreatic resections, depending on the location of the tumor, usually require division of the vasculature of either the distal or proximal part of the stomach. In certain situations, such as total pancreatectomy and/or with splenic vein occlusion, viability of the stomach may be threatened due to inadequate venous drainage. We discuss three cases of complex pancreatic surgeries performed for carcinoma of the pancreas at a tertiary care center in India, wherein the stomach was salvaged by reimplanting the veins in two patients and preserving the only draining collateral in one case after the gastric venous drainage was compromised. The perioperative and postoperative course in these patients and the complications were analyzed. None of these 3 patients developed any complication related to gastric venous congestion, and additional gastrectomy was avoided in all these patients. Re-establishment of the Gastric venous outflow after extensive pancreatic resections helps to avoid additional gastric resection secondary to venous congestive changes.
Texto completo:
1
Colección:
01-internacional
Idioma:
En
Revista:
Ann Hepatobiliary Pancreat Surg
Año:
2024
Tipo del documento:
Article
País de afiliación:
India