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01-04-2019 | Letter to the Editor

Feasibility and Safety of Spleno-Aortic Bypass in Patients with Atheromatous Celiac Trunk Stenosis in Pancreaticoduodenectomy

Authors: Tullio Piardi, Rami Rhaiem, Arman Aghei, Francesco Fleres, Yohann Renard, Ambroise Duprey, Daniele Sommacale, Reza Kianmanesh

Published in: Journal of Gastrointestinal Surgery | Issue 4/2019

Excerpt

In cases of celiac trunk (Ct) occlusion in patients requiring pancreaticoduodenectomy (PD), hepatic arterial flow must be preserved to avoid complications, such as hepatic ischemia. From January 2012 to August 2018, 183 PD were performed in the Digestive and Hepatobiliary Surgery Department-University of Reims-France. In 5 patients (2.7%), we observed, in the preoperative imaging study, a pre-occlusive atheromatous stenosis of the Ct. Among them, 3 patients deemed non-manageable by endovascular techniques. Herein, we report the results of a new strategy with a spleno-aortic bypass (SAB) associated to PD to overcome the Ct stenosis. …

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Title: Feasibility and Safety of Spleno-Aortic Bypass in Patients with Atheromatous Celiac Trunk Stenosis in Pancreaticoduodenectomy
Authors: Tullio Piardi
Rami Rhaiem
Arman Aghei
Francesco Fleres
Yohann Renard
Ambroise Duprey
Daniele Sommacale
Reza Kianmanesh
Publication date: 01-04-2019
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 4/2019
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-019-04142-y

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Feasibility and Safety of Spleno-Aortic Bypass in Patients with Atheromatous Celiac Trunk Stenosis in Pancreaticoduodenectomy

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