{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T17:36:15Z","timestamp":1791048975029,"version":"4.1.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,1,28]],"date-time":"2020-01-28T00:00:00Z","timestamp":1580169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,1,28]],"date-time":"2020-01-28T00:00:00Z","timestamp":1580169600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Stenosis or obstruction of the celiac artery (CA) is known as celiac artery stenosis (CAS) and is usually accompanied by the formation of arterial anastomosis between the superior mesenteric artery (SMA) system and the CA system. Arterial bypass is mainly achieved through the gastroduodenal artery (GDA); therefore, the division of the GDA during pancreaticoduodenectomy (PD) could pose a problem in patients with CAS.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We reported a case of PD presenting complete occlusion of the CA, in which perfusion to organs in the CA system was maintained via peri-pancreatic arterial communication. There were complicated arterial anastomoses around the pancreas, which were clearly visualized on a three-dimensional reconstruction of the arterial system using multi-detector computed tomography. Among these complicated anastomoses, one well-developed anastomosis between the SMA and the splenic artery through the dorsal pancreatic artery (DPA) was identified. The DPA was considered to work as a potential collateral pathway from the SMA to organs in the CA system after division of the GDA. During surgery, Doppler ultrasonography detected hepatopetal arterial flow even after the\u00a0GDA clamping; therefore, we performed typical PD with division of the GDA. The postoperative course of the patient was uneventful, and there was no sign of ischemic complications in the CA system organs including the liver, stomach or spleen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Three-dimensional reconstruction of the arterial system using multi-detector computed tomography and the intraoperative GDA clamping test were useful to determine whether it was possible to divide the GDA in PD, in the case of CAS.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-020-0787-2","type":"journal-article","created":{"date-parts":[[2020,1,28]],"date-time":"2020-01-28T12:03:43Z","timestamp":1580213023000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Arterial communication around the pancreatic tail enabled division of the gastroduodenal artery during pancreaticoduodenectomy in patient with complete celiac artery occlusion: a case report"],"prefix":"10.1186","volume":"6","author":[{"given":"Ryo","family":"Oikawa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyoji","family":"Ito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1458-0689","authenticated-orcid":false,"given":"Nobuyuki","family":"Takemura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuminori","family":"Mihara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norihiro","family":"Kokudo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,1,28]]},"reference":[{"issue":"2","key":"787_CR1","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1016\/j.jamcollsurg.2007.09.002","volume":"206","author":"GH Sakorafas","year":"2008","unstructured":"Sakorafas GH, Sarr MG, Peros G. Celiac artery stenosis: an underappreciated and unpleasant surprise in patients undergoing pancreaticoduodenectomy. Journal of the American College of Surgeons. 2008;206(2):349\u201356.","journal-title":"Journal of the American College of Surgeons."},{"issue":"4","key":"787_CR2","doi-asserted-by":"publisher","first-page":"881","DOI":"10.1148\/radiographics.22.4.g02jl13881","volume":"22","author":"S-Y Song","year":"2002","unstructured":"Song S-Y, Chung JW, Kwon JW, Joh JH, Shin SJ, Kim HB, et al. Collateral pathways in patients with celiac axis stenosis: angiographic\u2013spiral CT correlation. Radiographics. 2002;22(4):881\u201393.","journal-title":"Radiographics."},{"issue":"5","key":"787_CR3","doi-asserted-by":"publisher","first-page":"1177","DOI":"10.1148\/rg.255055001","volume":"25","author":"KM Horton","year":"2005","unstructured":"Horton KM, Talamini MA, Fishman EK. Median arcuate ligament syndrome: evaluation with CT angiography. Radiographics. 2005;25(5):1177\u201382.","journal-title":"Radiographics."},{"issue":"4","key":"787_CR4","doi-asserted-by":"publisher","first-page":"181","DOI":"10.5152\/dir.2018.17514","volume":"24","author":"S Heo","year":"2018","unstructured":"Heo S, Kim HJ, Kim B, Lee JH, Kim J, Kim JK. Clinical impact of collateral circulation in patients with median arcuate ligament syndrome. Diagnostic and Interventional Radiology. 2018;24(4):181.","journal-title":"Diagnostic and Interventional Radiology."},{"issue":"5","key":"787_CR5","doi-asserted-by":"publisher","first-page":"1366","DOI":"10.1016\/j.jvs.2016.11.052","volume":"65","author":"AS van Petersen","year":"2017","unstructured":"van Petersen AS, Kolkman JJ, Gerrits DG, van der Palen J, Zeebregts CJ, Geelkerken RH, et al. Clinical significance of mesenteric arterial collateral circulation in patients with celiac artery compression syndrome. Journal of vascular surgery. 2017;65(5):1366\u201374.","journal-title":"Journal of vascular surgery."},{"key":"787_CR6","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1016\/j.gassur.2004.03.005","volume":"8","author":"AL Warshaw","year":"2004","unstructured":"Warshaw AL, Thayer SP. Pancreaticoduodenectomy. Journal of Gastrointestinal Surgery. 2004;8:6.","journal-title":"Journal of Gastrointestinal Surgery"},{"issue":"4","key":"787_CR7","doi-asserted-by":"publisher","first-page":"352","DOI":"10.1016\/S0002-9610(98)00195-0","volume":"176","author":"T Berney","year":"1998","unstructured":"Berney T, Pretre R, Chassot G, Morel P. The role of revascularization in celiac occlusion and pancreatoduodenectomy. The American journal of surgery. 1998;176(4):352\u20136.","journal-title":"The American journal of surgery."},{"issue":"3","key":"787_CR8","doi-asserted-by":"publisher","first-page":"149","DOI":"10.4174\/astr.2016.91.3.149","volume":"91","author":"HM Park","year":"2016","unstructured":"Park HM, Lee SD, Lee EC, Lee IJ, Han S-S, Kim HB, et al. Celiac axis stenosis as a rare but critical condition treated with pancreatoduodenectomy: report of 2 cases. Annals of surgical treatment and research. 2016;91(3):149\u201353.","journal-title":"Annals of surgical treatment and research."},{"issue":"1","key":"787_CR9","first-page":"28","volume":"97","author":"M Trede","year":"1985","unstructured":"Trede M. The surgical treatment of pancreatic carcinoma. Surgery. 1985;97(1):28\u201335.","journal-title":"Surgery."},{"issue":"3","key":"787_CR10","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1002\/jhbp.211","volume":"22","author":"M Miyazaki","year":"2015","unstructured":"Miyazaki M, Ohtsuka M, Miyakawa S, Nagino M, Yamamoto M, Kokudo N, et al. Classification of biliary tract cancers established by the Japanese Society of Hepato-Biliary-Pancreatic Surgery: 3rd English edition. Journal of Hepato-Biliary-Pancreatic Sciences. 2015;22(3):181\u201396.","journal-title":"Journal of Hepato-Biliary-Pancreatic Sciences."},{"issue":"5","key":"787_CR11","doi-asserted-by":"publisher","first-page":"1093","DOI":"10.1148\/rg.235035031","volume":"23","author":"JD Crossin","year":"2003","unstructured":"Crossin JD, Muradali D, Wilson SR. US of liver transplants: normal and abnormal. Radiographics. 2003;23(5):1093\u2013114.","journal-title":"Radiographics."},{"issue":"3","key":"787_CR12","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1148\/radiology.192.3.8058930","volume":"192","author":"G Dodd 3rd","year":"1994","unstructured":"Dodd G 3rd, Memel DS, Zajko AB, Baron RL, Santaguida LA. Hepatic artery stenosis and thrombosis in transplant recipients: Doppler diagnosis with resistive index and systolic acceleration time. Radiology. 1994;192(3):657\u201361.","journal-title":"Radiology."},{"issue":"6","key":"787_CR13","doi-asserted-by":"publisher","first-page":"560","DOI":"10.1080\/110241599750006460","volume":"165","author":"JM Fabre","year":"1999","unstructured":"Fabre JM, Burgel JS, Navarro F, Boccarat G, Lemoine MC, Domergue J. Delayed gastric emptying after pancreaticoduodenectomy and pancreaticogastrostomy. The European journal of surgery. 1999;165(6):560\u20135.","journal-title":"The European journal of surgery."},{"issue":"5","key":"787_CR14","doi-asserted-by":"publisher","first-page":"761","DOI":"10.1016\/j.surg.2007.05.005","volume":"142","author":"MN Wente","year":"2007","unstructured":"Wente MN, Bassi C, Dervenis C, Fingerhut A, Gouma DJ, Izbicki JR, et al. Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the International Study Group of Pancreatic Surgery (ISGPS). Surgery. 2007;142(5):761\u20138.","journal-title":"Surgery."},{"issue":"1","key":"787_CR15","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.surg.2005.05.001","volume":"138","author":"C Bassi","year":"2005","unstructured":"Bassi C, Dervenis C, Butturini G, Fingerhut A, Yeo C, Izbicki J, et al. Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery. 2005;138(1):8\u201313.","journal-title":"Surgery."},{"issue":"4","key":"787_CR16","doi-asserted-by":"publisher","first-page":"617","DOI":"10.1148\/85.4.617","volume":"85","author":"SR Reuter","year":"1965","unstructured":"Reuter SR, Olin T. Stenosis of the celiac artery. Radiology. 1965;85(4):617\u201327.","journal-title":"Radiology."},{"issue":"6","key":"787_CR17","doi-asserted-by":"publisher","first-page":"1400","DOI":"10.1148\/radiographics.13.6.8290734","volume":"13","author":"IA Sproat","year":"1993","unstructured":"Sproat IA, Pozniak MA, Kennell TW. US case of the day. Median arcuate ligament syndrome (celiac artery compression syndrome). Radiographics. 1993;13(6):1400\u20132.","journal-title":"Radiographics."},{"issue":"4","key":"787_CR18","doi-asserted-by":"publisher","first-page":"799","DOI":"10.1016\/j.jvs.2007.05.049","volume":"46","author":"KT Delis","year":"2007","unstructured":"Delis KT, Gloviczki P, Altuwaijri M, McKusick MA. Median arcuate ligament syndrome: open celiac artery reconstruction and ligament division after endovascular failure. Journal of vascular surgery. 2007;46(4):799\u2013802.","journal-title":"Journal of vascular surgery."},{"issue":"1","key":"787_CR19","doi-asserted-by":"publisher","first-page":"8","DOI":"10.3348\/kjr.2001.2.1.8","volume":"2","author":"CM Park","year":"2001","unstructured":"Park CM, Chung JW, Kim HB, Shin SJ, Park JH. Celiac axis stenosis: incidence and etiologies in asymptomatic individuals. Korean journal of radiology. 2001;2(1):8\u201313.","journal-title":"Korean journal of radiology."},{"issue":"4","key":"787_CR20","doi-asserted-by":"publisher","first-page":"440","DOI":"10.1067\/msy.2003.103","volume":"133","author":"K Hasegawa","year":"2003","unstructured":"Hasegawa K, Imamura H, Akahane M, Miura Y, Takayama T, Ohtomo K, et al. Endovascular stenting for celiac axis stenosis before pancreaticoduodenectomy. Surgery. 2003;133(4):440\u20132.","journal-title":"Surgery."},{"issue":"2","key":"787_CR21","first-page":"261","volume":"103","author":"M Miyata","year":"1988","unstructured":"Miyata M, Takao T, Okuda A, Sasako Y, Sunada S. Pancreatoduodenectomy for periampullary cancer associated with celiac occlusion: a case report. Surgery. 1988;103(2):261\u20133.","journal-title":"Surgery."},{"issue":"1","key":"787_CR22","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1007\/s10534-002-0831-7","volume":"10","author":"H Okamoto","year":"2003","unstructured":"Okamoto H, Suminaga Y, Toyama N, Konishi F, Kawahito H. Autogenous vein graft from iliac artery to splenic artery for celiac occlusion in pancreaticoduodenectomy. Journal of Hepato-Biliary-Pancreatic Surgery. 2003;10(1):109\u201312.","journal-title":"Journal of Hepato-Biliary-Pancreatic Surgery."},{"issue":"3","key":"787_CR23","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1097\/00006676-199105000-00014","volume":"6","author":"T Manabe","year":"1991","unstructured":"Manabe T, Baba N, Setoyama H, Ohshio G, Tobe T. Venous bypass grafting for celiac occlusion in radical pancreaticoduodenectomy. Pancreas. 1991;6(3):368\u201371.","journal-title":"Pancreas."},{"issue":"6","key":"787_CR24","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1155\/1998\/85406","volume":"10","author":"MC Machado","year":"1998","unstructured":"Machado MC, Penteado S, Montagnini AL, Machado MA. An alternative technique in the treatment of celiac axis stenosis diagnosed during pancreaticoduodenectomy. HPB Surgery. 1998;10(6):371\u20133.","journal-title":"HPB Surgery."},{"issue":"6","key":"787_CR25","first-page":"606","volume":"183","author":"TJ Takach","year":"1996","unstructured":"Takach TJ, Livesay JJ, Reul JG, Cooley DA. Celiac compression syndrome: tailored therapy based on intraoperative findings. Journal of the American College of Surgeons. 1996;183(6):606\u201310.","journal-title":"Journal of the American College of Surgeons."},{"issue":"4","key":"787_CR26","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1097\/00000658-198104000-00002","volume":"193","author":"NW Thompson","year":"1981","unstructured":"Thompson NW, Eckhauser FE, Talpos G, Cho KJ. Pancreaticoduodenectomy and celiac occlusive disease. Annals of surgery. 1981;193(4):399.","journal-title":"Annals of surgery."},{"issue":"7","key":"787_CR27","doi-asserted-by":"publisher","first-page":"2188","DOI":"10.1016\/j.transproceed.2004.09.001","volume":"36","author":"M Sekijima","year":"2004","unstructured":"Sekijima M, Tojimbara T, Sato S, Nakamura M, Kawase T, Kai K, et al. An intraoperative fluorescent imaging system in organ transplantation. Transplantation Proceedings. 2004;36(7):2188\u201390.","journal-title":"Transplantation Proceedings."}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-0787-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40792-020-0787-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-0787-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T00:07:07Z","timestamp":1611706027000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-020-0787-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,28]]},"references-count":27,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["787"],"URL":"https:\/\/doi.org\/10.1186\/s40792-020-0787-2","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,28]]},"assertion":[{"value":"5 December 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 January 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 January 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This article satisfied the consensus of the National Center for Global Health and Medicine Research Ethics Committee\/Institutional Review Board.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent was obtained from the patient presented in this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"29"}}