{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T20:54:58Z","timestamp":1761512098359},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[1993,11,1]],"date-time":"1993-11-01T00:00:00Z","timestamp":752112000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1993,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A prospective study was undertaken to evaluate selective visceral angiography (SVA) in the management of patients with pancreatic and periampullary cancer. Over a 30\u2010month period 52 patients with potentially resectable pancreatic or periampullary cancer underwent SVA; 4 patients had obvious angiographic evidence of widely disseminated disease and were not subjected to laparotomy while 2 further patients were eventually considered too frail for resection. The remaining 46 patients (median age 58 years, range 37\u201373 years, males 26, females 20) had no evidence of disseminated disease on ultrasonography and\/or CT scanning and had both SVA and surgery and form the basis of this study. Vascular anomalies were detected in 16\/46 (35%) patients. Hepatic metastases were wrongly diagnosed by angiography in 7 out of 9 patients (77%). SVA correctly predicted resectability or irresectability in 28\/46 patients (overall predictive value 61%). Of the 27 patients who proved to have irresectable disease at operation, 11 were correctly identified by SVA (sensitivity 41%). Of the 13 patients reported to have irresectable disease, 2 underwent resection (false\u2010positive rate 15%). Of the 33 patients reported to have resectable disease, 16 were irresectable (false\u2010negative rate 48%). Overall there was a poor relationship between resectability and the angiographic features. On the basis of these data, SVA cannot be considered a sufficiently accurate means of assessing resectability. Its use for this purpose in patients with pancreatic and periampullary cancer is not justified.<\/jats:p>","DOI":"10.1007\/bf01659101","type":"journal-article","created":{"date-parts":[[2005,5,8]],"date-time":"2005-05-08T13:24:41Z","timestamp":1115558681000},"page":"796-800","source":"Crossref","is-referenced-by-count":14,"title":["The role of selective visceral angiography in the management of pancreatic and periampullary cancer"],"prefix":"10.1002","volume":"17","author":[{"given":"Mahadavan","family":"Murugiah","sequence":"first","affiliation":[{"name":"University Department of Surgery Royal Infirmary of Edinburgh Lauriston Place EH3 9YW Edinburgh Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John A.","family":"Windsor","sequence":"additional","affiliation":[{"name":"University Department of Surgery Royal Infirmary of Edinburgh Lauriston Place EH3 9YW Edinburgh Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doris N.","family":"Redhead","sequence":"additional","affiliation":[{"name":"Department of Radiology Royal Infirmary of Edinburgh Edinburgh Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John S.","family":"O'Neill","sequence":"additional","affiliation":[{"name":"University Department of Surgery Royal Infirmary of Edinburgh Lauriston Place EH3 9YW Edinburgh Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bertrand","family":"Suc","sequence":"additional","affiliation":[{"name":"University Department of Surgery Royal Infirmary of Edinburgh Lauriston Place EH3 9YW Edinburgh Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O. James","family":"Garden","sequence":"additional","affiliation":[{"name":"University Department of Surgery Royal Infirmary of Edinburgh Lauriston Place EH3 9YW Edinburgh Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David C.","family":"Carter","sequence":"additional","affiliation":[{"name":"University Department of Surgery Royal Infirmary of Edinburgh Lauriston Place EH3 9YW Edinburgh Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1993,11]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.31.5.494"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(87)92733-4"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(86)90719-1"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199202133260706"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.167.2.3282254"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.142.3.525"},{"key":"e_1_2_1_8_1","first-page":"92","article-title":"The value of angiography in the surgical management of pancreatic disease","volume":"71","author":"Appleton G.V.","year":"1989","journal-title":"Ann. 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