Le risque ischémique en cas d'obstruction du tronc coeliaque chez les patients devant subir une duodénopancréatectomie. Enquête multicentrique et revue de la littérature [Ischemic risk in the case of celiac trunk occlusion in patients undergoing pancreatodeodenectomy. Multicenter study and review of literature].

Details

Serval ID
serval:BIB_1007102BF54F
Type
Article: article from journal or magazin.
Collection
Publications
Title
Le risque ischémique en cas d'obstruction du tronc coeliaque chez les patients devant subir une duodénopancréatectomie. Enquête multicentrique et revue de la littérature [Ischemic risk in the case of celiac trunk occlusion in patients undergoing pancreatodeodenectomy. Multicenter study and review of literature].
Journal
Annales de Chirurgie
Author(s)
Berney T., Prêtre R., Chassot G., Morel P.
ISSN
0003-3944 (Print)
ISSN-L
0003-3944
Publication state
Published
Issued date
1999
Peer-reviewed
Oui
Volume
53
Number
4
Pages
273-279
Language
french
Notes
Publication types: Publication Status: ppublish
Abstract
OBJECTIVES OF THE STUDY: To assess the risk of ischemia in patients undergoing pancreatoduodenectomy and presenting celiac trunk occlusion.
METHODS: Multicenter survey and review of the literature.
PATIENTS: We collected data from 22 patients (15 males and 7 females), with a median age of 66 years. Indication for pancreatic resection was adenocarcinoma of the head of pancreas (N = 9), other peri-ampullary tumors (N = 7) and chronic pancreatitis (N = 6). Trial clamping of the gastroduodenal artery was performed in 16 patients and was found to be positive in 9, who underwent a revascularization procedure. Among 6 patients who did not undergo trial clamping, 4 developed ischemia during pancreatic resection and unplanned revascularization had to be performed. Five patients developed complications (morbidity = 23%), which were fatal in 2 cases (mortality = 9%). Prevalence of celiac trunk occlusion has been estimated at 2-3% of all pancreatoduodenectomies.
CONCLUSIONS: The risk of supra mesocolic ischemia by obstruction of the coeliac trunk is low, but can be minimized by performing trial clamping of the gastroduodenal artery. Revascularization should be performed if trial clamping induces a reduction of blood flow.
Pubmed
Web of science
Create date
16/12/2014 17:20
Last modification date
20/08/2019 12:36
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