Publication at Faculty of Medicine in Hradec Králové |
2009
Abstract
Patients with celiac axis stenosis are asymptomatic due to the rich collateral blood supply through superior mesenteric artery. Ligating and dividing gastroduodenal artery during pancreatoduodenectomy can cause ischemic threat especially to liver, less frequently stomach and spleen, or failure of anastomoses.
In conclusion the authors propose a management algorithm to prevent the consequences of celiac axis stenosis.