{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T10:29:43Z","timestamp":1781087383171,"version":"3.54.1"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,12,19]],"date-time":"2017-12-19T00:00:00Z","timestamp":1513641600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Gastric venous congestion and bleeding in association with total pancreatectomy (<jats:styled-content style=\"fixed-case\">TP<\/jats:styled-content>) were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010eight patients of <jats:styled-content style=\"fixed-case\">TP<\/jats:styled-content> were retrospectively analyzed. <jats:styled-content style=\"fixed-case\">TP<\/jats:styled-content> was classified as <jats:styled-content style=\"fixed-case\">TP<\/jats:styled-content> with distal gastrectomy (<jats:styled-content style=\"fixed-case\">TPDG<\/jats:styled-content>), pylorus\u2010preserving <jats:styled-content style=\"fixed-case\">TP<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">PPTP<\/jats:styled-content>), subtotal stomach\u2010preserving <jats:styled-content style=\"fixed-case\">TP<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">SSPTP<\/jats:styled-content>), and <jats:styled-content style=\"fixed-case\">TP<\/jats:styled-content> with segmental duodenectomy (<jats:styled-content style=\"fixed-case\">TPSD<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Portal vein or superior mesenteric vein resection and reconstruction was performed in 24 patients (62.2%). Gastric bleeding occurred immediately after tumor resection in one of eight patients who underwent <jats:styled-content style=\"fixed-case\">SSPTP<\/jats:styled-content>, and urgent anastomosis between the right gastroepiploic and left ovarian vein stopped the bleeding. Another case of gastric bleeding was observed a few hours after <jats:styled-content style=\"fixed-case\">TP<\/jats:styled-content> in one of nine patients who underwent <jats:styled-content style=\"fixed-case\">PPTP<\/jats:styled-content>, and hemostasis was achieved after conservative therapy. Gastric bleeding was not observed in 16 patients who underwent <jats:styled-content style=\"fixed-case\">TPDG<\/jats:styled-content> and five who underwent <jats:styled-content style=\"fixed-case\">TPSD<\/jats:styled-content>. Some patients underwent preservation of gastric drainage veins (left gastric vein, right gastric vein, or right gastroepiploic vein). Neither patient with bleeding underwent preservation of a gastric drainage vein.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>To preserve the subtotal or whole stomach when performing <jats:styled-content style=\"fixed-case\">TP<\/jats:styled-content>, one of the gastric drainage veins should undergo preservation or reconstruction, and anastomosis between the right gastroepiploic vein and left ovarian vein may be beneficial.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.523","type":"journal-article","created":{"date-parts":[[2017,11,16]],"date-time":"2017-11-16T07:06:51Z","timestamp":1510816011000},"page":"150-154","source":"Crossref","is-referenced-by-count":29,"title":["Gastric venous congestion and bleeding in association with total pancreatectomy"],"prefix":"10.1002","volume":"25","author":[{"given":"Akimasa","family":"Nakao","sequence":"first","affiliation":[{"name":"Department of Surgery Nagoya Central Hospital 3\u20107\u20107 Taiko Nakamura\u2010ku, 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