{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T22:10:45Z","timestamp":1772662245585,"version":"3.50.1"},"reference-count":20,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2009,10,11]],"date-time":"2009-10-11T00:00:00Z","timestamp":1255219200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HPB Surgery"],"published-print":{"date-parts":[[2009,10,11]]},"abstract":"<jats:p>We report herein the case of a patient successfully treated by transhepatic portal venous stent placement for malignant portal vein obstruction with associated gastric and small bowel varices and repeated gastrointestinal bleeding. CT angiography and portography showed severe portal vein obstruction from recurrent pancreatic cancer 15 months following pancreaticoduodenectomy with tumor encasement and dilated collateral veins throughout the gastric and proximal small bowel wall as the suspected cause of the GI bleeding. Successful transhepatic endovascular stent placement of the splenic vein at the portal vein confluence followed by balloon dilation was performed with immediate decompression of the gastric and small bowel varices and relief of GI hemorrhage in this patient until his death four months later. The treatment for patients with this dilemma can prove to be difficult, but as we have shown endovascular stenting of the portal system is an effective treatment option.<\/jats:p>","DOI":"10.1155\/2009\/426436","type":"journal-article","created":{"date-parts":[[2009,10,12]],"date-time":"2009-10-12T07:49:53Z","timestamp":1255333793000},"page":"1-5","source":"Crossref","is-referenced-by-count":4,"title":["Effective Endovascular Stenting of Malignant Portal Vein Obstruction in Pancreatic Cancer"],"prefix":"10.1155","volume":"2009","author":[{"given":"Christian M.","family":"Ellis","sequence":"first","affiliation":[{"name":"Roswell Park Cancer Institute, State University of New York at Buffalo, Buffalo, NY 14263, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadashiv","family":"Shenoy","sequence":"additional","affiliation":[{"name":"Roswell Park Cancer Institute, State University of New York at Buffalo, Buffalo, NY 14263, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Litwin","sequence":"additional","affiliation":[{"name":"Roswell Park Cancer Institute, State University of New York at Buffalo, Buffalo, NY 14263, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Soehnlein","sequence":"additional","affiliation":[{"name":"Roswell Park Cancer Institute, State University of New York at Buffalo, Buffalo, NY 14263, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John F.","family":"Gibbs","sequence":"additional","affiliation":[{"name":"Roswell Park Cancer Institute, State University of New York at Buffalo, Buffalo, NY 14263, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.3322\/CA.2007.0010"},{"issue":"6","key":"2","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1097\/00000658-199506000-00011","volume":"221","year":"1995","journal-title":"Annals of Surgery"},{"issue":"12","key":"3","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.1016\/S1051-0443(07)61699-6","volume":"12","year":"2001","journal-title":"Journal of Vascular and Interventional Radiology"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900215"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2008.20.5104"},{"issue":"28","key":"6","doi-asserted-by":"crossref","first-page":"4466","DOI":"10.3748\/wjg.v12.i28.4466","volume":"12","year":"2006","journal-title":"World Journal of Gastroenterology"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1746.17.s3.4.x"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(92)90109-O"},{"issue":"2","key":"9","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/S1051-0443(96)70777-7","volume":"7","year":"1996","journal-title":"Journal of Vascular and Interventional Radiology"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9270(01)04089-8"},{"issue":"1","key":"11","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1148\/radiology.220.1.r01jl03150","volume":"220","year":"2001","journal-title":"Radiology"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1136\/gut.49.5.720"},{"issue":"20","key":"13","first-page":"551","volume":"45","year":"1998","journal-title":"Hepato-Gastroenterology"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2005.04.003"},{"issue":"5","key":"15","first-page":"585","volume":"111","year":"1992","journal-title":"Surgery"},{"issue":"5","key":"16","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1007\/BF02629164","volume":"16","year":"1993","journal-title":"CardioVascular and Interventional Radiology"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199609000-00010"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1998.00641.x"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2003.07.010"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000259391.84304.2b"}],"container-title":["HPB Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/2009\/426436.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/archive\/2009\/426436.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/archive\/2009\/426436.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,8]],"date-time":"2020-12-08T17:58:21Z","timestamp":1607450301000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/hpb\/2009\/426436\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,10,11]]},"references-count":20,"alternative-id":["426436","426436"],"URL":"https:\/\/doi.org\/10.1155\/2009\/426436","relation":{},"ISSN":["0894-8569","1607-8462"],"issn-type":[{"value":"0894-8569","type":"print"},{"value":"1607-8462","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,10,11]]}}}