alexa Managing Arterial Collaterals Due to Coeliac Axis Stenosis During Pancreaticoduodenectomy | Abstract

JOP. Journal of the Pancreas
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Abstract

Context Coeliac artery stenosis is a condition affecting a minority of patients undergoing pancreaticoduodenectomy. In such cases, the development of collateral pathways through the blood supply of the pancreatic head provides challenges for surgical management. Case report We report a case of coeliac artery stenosis in a patient undergoing pancreaticoduodenectomy. The main blood supply for the coeliac axis was through a single collateral channel, formed by the anterior pancreaticoduodenal arterial arcade. We describe the preservation of this arcade, resection of the redundant artery with primary anastomosis and a review of the literature. Conclusion Management of coeliac artery stenosis during pancreaticoduodenectomy depends on identifying the cause and dealing with it accordingly, intraoperatively.

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Author(s): Shady ElGhazaly Harb Adrian W OrsquoSullivan Gabriele Marangoni Nigel D Heaton Mohamed Rela

Keywords

Celiac Artery, Collateral Circulation, Pancreas, Pancreatic Neoplasms, Pancreaticoduodenectomy, Pancreaticoduodenectomy

 
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