{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T15:08:25Z","timestamp":1776784105636,"version":"3.51.2"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T00:00:00Z","timestamp":1729209600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>In elderly patients with atherosclerotic disease the occlusion of splanchnic arteries is a frequently observed variation, which doesn't normally affect patient's condition. There are sporadic reports on pancreatoduodenectomy in these cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 72-year-old female was admitted to our department with cancer of the ampulla of Vater. Pre-operative CT-angiography revealed total atherosclerotic occlusion of the main trunk of the superior mesenteric artery (SMA). Collateral circulation was conducted through gastroduodenal and dorsal pancreatic artery. Pancreatoduodenectomy was performed with an intraoperative clamping test, which showed no signs of bowel ischemia. The patient was discharged on post-operative day 14 without any complications, and long-term follow-up revealed adjustment of collateral circulation through the inferior mesenteric artery and Riolan's arcade.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Most cases of mesenteric artery stenosis occur in patients with underlying cardiac condition. As the occlusion develops chronically, it doesn't cause any symptoms due to collateral circulation, and no preoperative intervention is usually needed. However, there are rare cases reported in the literature, when preoperative endovascular stenting and SMA dilation were performed before pancreatoduodenectomy. In this report we decided to proceed with surgery upfront and perform an intraoperative clamping test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this report we present a rare case of successful pancreatoduodenectomy in a patient with total atherosclerosis of the superior mesenteric artery. The intraoperative clamping test allowed us to assess both the sufficiency of collateral circulation and the feasibility of the surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110492","type":"journal-article","created":{"date-parts":[[2024,10,19]],"date-time":"2024-10-19T11:03:11Z","timestamp":1729335791000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Pancreatoduodenectomy in a patient with complete atherosclerotic occlusion of superior mesenteric artery: A case report"],"prefix":"10.1097","volume":"124","author":[{"given":"Veronika","family":"Rozhkova","sequence":"first","affiliation":[{"name":"Department of thoraco-abdominal oncology, National Cancer Institute, Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anton","family":"Burlaka","sequence":"additional","affiliation":[{"name":"Department of thoraco-abdominal oncology, National Cancer Institute, Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Lisniy","sequence":"additional","affiliation":[{"name":"Department of thoraco-abdominal oncology, National Cancer Institute, Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oleksandr","family":"Chukanov","sequence":"additional","affiliation":[{"name":"Lifescan diagnostic center, Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrii","family":"Beznosenko","sequence":"additional","affiliation":[{"name":"Department of thoraco-abdominal oncology, National Cancer Institute, Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergii","family":"Zemskov","sequence":"additional","affiliation":[{"name":"Bogomolets National Medical University, Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-157-20260421","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.jvs.2004.03.022","article-title":"Mesenteric artery disease in the elderly","volume":"40","author":"Hansen,","year":"2004","journal-title":"J. Vasc. Surg."},{"key":"R2-157-20260421","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.jvs.2014.01.063","article-title":"Mesenteric stenosis, collaterals, and compensatory blood flow","volume":"60","author":"van Petersen,","year":"2014","journal-title":"J. Vasc. Surg."},{"key":"R3-157-20260421","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1177\/1358863X10372437","article-title":"Chronic atherosclerotic mesenteric ischemia (CMI)","volume":"15","author":"Zeller,","year":"2010","journal-title":"Vasc. Med."},{"key":"R4-157-20260421","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1177\/2050640620916681","article-title":"European guidelines on chronic mesenteric ischaemia - joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric ischaemia","volume":"8","author":"Terlouw,","year":"2020","journal-title":"United European Gastroenterol J"},{"key":"R5-157-20260421","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1016\/j.ejvs.2021.03.003","article-title":"Natural history of asymptomatic superior mesenteric arterial stenosis depends on coeliac and inferior mesenteric artery status","volume":"61","author":"Bordet,","year":"2021","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"R6-157-20260421","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1097\/SLA.0b013e3181930249","article-title":"Ischemic complications after pancreaticoduodenectomy: incidence, prevention, and management","volume":"249","author":"Gaujoux,","year":"2009","journal-title":"Ann. Surg."},{"issue":"5","key":"R7-157-20260421","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg. Lond. Engl."},{"key":"R8-157-20260421","doi-asserted-by":"crossref","first-page":"1819","DOI":"10.1007\/s00595-021-02298-2","article-title":"Controlling the arterial supply into the pancreatic head region as a whole peripancreatic arterial arcade via a mesenteric approach during isolated pancreatoduodenectomy","volume":"51","author":"Iede,","year":"2021","journal-title":"Surg. Today"},{"key":"R9-157-20260421","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.surg.2016.11.014","article-title":"The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 years after","volume":"161","author":"Bassi","year":"2017","journal-title":"Surgery"},{"key":"R10-157-20260421","doi-asserted-by":"crossref","first-page":"444","DOI":"10.5833\/jjgs.2022.0065","article-title":"A case of pancreatic head carcinoma with stenosis at the root of the superior mesenteric artery that was safely resected after embolization of the pancreatic arcade","volume":"58","author":"Kuise,","year":"2023","journal-title":"Jpn. J. Gastroenterol. Surg."},{"key":"R11-157-20260421","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1007\/s00270-004-0036-2","article-title":"Stenting of the superior mesenteric artery as a preoperative treatment for total pancreatectomy","volume":"27","author":"Tanigawa,","year":"2004","journal-title":"Cardiovasc. Intervent. Radiol."},{"key":"R12-157-20260421","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1186\/s40792-019-0718-2","article-title":"Pancreaticoduodenectomy following total occlusion of the superior mesenteric artery: a case report and literature review","volume":"5","author":"Ohtsuka,","year":"2019","journal-title":"Surg. Case Rep."},{"key":"R13-157-20260421","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s12893-018-0352-0","article-title":"One visceral artery may be enough; successful pancreatectomy in a patient with total occlusion of the celiac and superior mesenteric arteries","volume":"18","author":"Tagkalos,","year":"2018","journal-title":"BMC Surg."},{"key":"R14-157-20260421","doi-asserted-by":"crossref","first-page":"72","DOI":"10.5833\/jjgs.43.72","article-title":"A case of safely resected pancreatic head cancer associated with atherosclerotic stenosis of superior mesenteric artery","volume":"43","author":"Taniguchi,","year":"2010","journal-title":"Jpn. J. Gastroenterol. Surg."},{"key":"R15-157-20260421","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1002\/ca.23716","article-title":"Diagnosis of celiac artery stenosis using multidetector computed tomography and evaluation of the collateral arteries within the mesopancreas of patients undergoing pancreaticoduodenectomy","volume":"34","author":"Ito,","year":"2021","journal-title":"Clin. Anat."},{"key":"R16-157-20260421","doi-asserted-by":"crossref","first-page":"245","DOI":"10.5582\/irdr.2019.01087","article-title":"Coronary artery disease and mesenteric artery stenosis - two sides of the same coin? - Long term prospective analysis","volume":"8","author":"Krishnamurthy,","year":"2019","journal-title":"Intractable Rare Dis. Res."},{"key":"R17-157-20260421","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.jvs.2004.03.022","article-title":"Mesenteric artery disease in the elderly","volume":"40","author":"Hansen,","year":"2004","journal-title":"J. Vasc. Surg."},{"key":"R18-157-20260421","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1016\/S0002-9610(98)00195-0","article-title":"The role of revascularization in celiacocclusion and pancreatoduodenectomy","volume":"176","author":"Berney,","year":"1998","journal-title":"Am. J. Surg."},{"key":"R19-157-20260421","first-page":"1671","article-title":"A new test to avoid arterial complications during pancreaticoduodenectomy","volume":"51","author":"Machado,","year":"2004","journal-title":"Hepatogastroenterology"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224012732?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224012732?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110492","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T14:05:03Z","timestamp":1776780303000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110492"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":19,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.110492","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"2024-07-01","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-18","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}