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World Journal of Surgery

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01-09-2015 | Original Scientific Report

Stent Placement for Portal Vein Stenosis After Pancreaticoduodenectomy

Authors: Masahide Hiyoshi, Yoshiro Fujii, Kazuhiro Kondo, Naoya Imamura, Motoaki Nagano, Jiro Ohuchida

Published in: World Journal of Surgery | Issue 9/2015

Abstract

Background

Portal vein (PV) stenosis is a worrisome late complication following pancreaticoduodenectomy (PD) that causes intestinal bleeding from varices, which must be diagnosed correctly and treated promptly. Recent reports advocate the usefulness of stent placement to improve PV stenosis.

Methods

We evaluated the cause, diagnosis, and treatment method of PV stenosis after PD and the duration of stent patency in our institution.

Results

Intestinal bleeding caused by PV stenosis occurred in 5 (2.4 %) of 205 patients. A computed tomography scan was useful to diagnose this complication. Four of 5 patients with PV stenosis underwent percutaneous transhepatic PV stent placement. The duration of stent patency was 21–41 months, and no rebleeding occurred.

Conclusions

Percutaneous stent placement is viable, less invasive option than laparotomy for the management of PV stenosis after PD.

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Title: Stent Placement for Portal Vein Stenosis After Pancreaticoduodenectomy
Authors: Masahide Hiyoshi
Yoshiro Fujii
Kazuhiro Kondo
Naoya Imamura
Motoaki Nagano
Jiro Ohuchida
Publication date: 01-09-2015
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 9/2015
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-015-3094-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Stent Placement for Portal Vein Stenosis After Pancreaticoduodenectomy

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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