Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Upper Abdominal Surgery in Patients with Coeliac Artery Stenosis

Kyoji Ito, Nobuyuki Takemura*, Ryo Oikawa, Fuyuki Inagaki, Fuminori Mihara and Norihiro Kokudo
Department of Surgery, National Centre for Global Health and Medicine, Shinjuku-ku, Tokyo, Japan
*Corresponding Author: Nobuyuki Takemura, Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, National Centre for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo 162-8655, Japan, Tel: +81-3-3202-7800, Fax: +81-3-5273-0113, Email: nkokudo@hosp.ncgm.go.jp

Received Date: May 11, 2020 / Accepted Date: Nov 26, 2020 / Published Date: Jun 02, 2020

Citation: Ito K, Takemura N, Oikawa R, Inagaki F, Mihara F, et al. (2020) Upper Abdominal Surgery in Patients with Coeliac Artery Stenosis. Atheroscler Open Access 5: 129.

Copyright: ©2020 Ito K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 
To read the full article Peer-reviewed Article PDF image

Abstract

Background and aim: Coeliac artery stenosis (CAS) is known as stenosis or obstruction of the coeliac artery (CA) due to various factors including median arcuate ligament (MAL) syndrome and atherosclerosis. Although CAS is often asymptomatic because of the formation of collateral blood flow, it occasionally causes ischemic complications after upper abdominal surgery. The aim of the present study was to overview reports on upper abdominal surgery in patients with CAS.

Methods: The articles on the clinical relevance of CAS and upper abdominal surgery were searched for in the PubMed database.

Results: Surgical procedures with relevance to CAS-related complications are pancreaticoduodenectomy, liver transplantation, oesophagectomy, and gastrectomy. Vascular clamping tests and Doppler ultrasonography are useful to evaluate the haemodynamics of CAS during surgery, although there were some reports with postoperative organ ischemia despite no signs of ischemic findings during surgery. The main strategies to resolve CAS are divided into four approaches: MAL division, preservation of the collateral artery, vascular reconstruction, and angioplasty by interventional radiology; although there were few reports comparing these approaches in upper abdominal surgery with CAS.

Conclusion: There was no established consensus on when an intervention is required for CAS in upper abdominal surgery. Therefore, careful assessment of arterial flow during and after surgery should be required to avoid CAS-related complications in upper abdominal surgery.

Keywords

Recommended Conferences
Google Scholar citation report
Citations : 29

Atherosclerosis: Open Access received 29 citations as per Google Scholar report

Atherosclerosis: Open Access peer review process verified at publons
Indexed In
  • Google Scholar
  • RefSeek
  • Hamdard University
  • EBSCO A-Z
  • Publons
  • ICMJE
Share This Page
Top