Stenting of the superior mesenteric artery as a preoperative treatment for total pancreatectomy.

Abstract

The patient was 58-year-old male with mucinous cyst adenocarcinoma of the pancreas. Prior to total pancreatectomy, preoperative CT and angiography showed a high-grade arteriosclerotic stenosis of about 1.0 cm in length in the ostium of the superior mesenteric artery (SMA), as well as the development of collateral vessels in the area around the head of the pancreas. A stent was placed in the SMA stenosis to preserve intestinal blood flow in the SMA region after total pancreatectomy, which was performed 25 days after stent placement. The postoperative SMA blood flow was favorable, with no postoperative intestinal ischemia, and the patient had an uneventful postoperative course.

• Authors: Noboru Tanigawa, Shuji Kariya, Atsushi Komemushi, Sohei Satoi, Yasuo Kamiyama, Satoshi Sawada, Hiroyuki Kojima, Mitsuharu Sougawa, Yuichirou Takai
• Journal: Cardiovascular and interventional radiology (Cardiovasc Intervent Radiol) 2004 Sep-Oct Vol. 27 Issue 5 Pg. 533-5 ISSN: 0174-1551 [Print] United States
• PMID: 15461980 (Publication Type: Case Reports, Journal Article)

Topics

• Blood Vessel Prosthesis Implantation
• Collateral Circulation
• Cystadenocarcinoma, Mucinous (physiopathology, surgery)
• Humans
• Male
• Mesenteric Artery, Superior (diagnostic imaging, physiopathology, surgery)
• Mesenteric Vascular Occlusion (diagnostic imaging, physiopathology, surgery)
• Middle Aged
• Pancreatectomy
• Pancreatic Neoplasms (physiopathology, surgery)
• Preoperative Care
• Stents
• Tomography, X-Ray Computed