{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:55:24Z","timestamp":1768438524118,"version":"3.49.0"},"reference-count":14,"publisher":"International College of Surgeons","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>This report describes the successful use of portal venous stent placement for a patient with recurrent melena secondary to jejunal varices that developed after subtotal stomach preserved pancreatoduodenectomy (SSPPD). A 67-year-old man was admitted to our hospital with tarry stool and severe anemia at 2 years after SSPPD for carcinoma of the head of the pancreas. Abdominal computed tomography examination showed severe stenosis of the extrahepatic portal vein caused by local recurrence and showed an intensely enhanced jejunal wall at the choledochojejunostomy. Gastrointestinal bleeding scintigraphy also revealed active bleeding near the choledochojejunostomy. Based on these findings, jejunal varices resulting from portal vein stenosis were suspected as the cause of the melena. Portal vein stenting and balloon dilation was performed via the ileocecal vein after laparotomy. Coiling of the jejunal varices and sclerotherapy of the dilate postgastric vein with 5% ethanolamine oleate with iopamidol was performed. After portal stent placement, the patient was able to lead a normal life without gastrointestinal hemorrhage. However, he died 7 months later due to liver metastasis.<\/jats:p>","DOI":"10.9738\/intsurg-d-13-00128.1","type":"journal-article","created":{"date-parts":[[2014,1,20]],"date-time":"2014-01-20T22:47:19Z","timestamp":1390258039000},"page":"91-95","source":"Crossref","is-referenced-by-count":17,"title":["Portal Vein Stenting to Treat Portal Vein Stenosis in a Patient With Malignant Tumor and Gastrointestinal Bleeding"],"prefix":"10.9738","volume":"99","author":[{"given":"Katsunobu","family":"Sakurai","sequence":"first","affiliation":[{"name":"Department of Surgical Oncology and 2Department of Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Amano","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology and 2Department of Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology and 2Department of Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norifumi","family":"Nishida","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology and 2Department of Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinya","family":"Matsutani","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology and 2Department of Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiichiro","family":"Hirata","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology and 2Department of Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenjiro","family":"Kimura","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology and 2Department of Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuya","family":"Muguruma","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology and 2Department of Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Toyokawa","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology and 2Department of Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoshi","family":"Kubo","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology and 2Department of Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroaki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology and 2Department of Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masakazu","family":"Yashiro","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology and 2Department of Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaichi","family":"Ohira","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology and 2Department of Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kosei","family":"Hirakawa","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology and 2Department of Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"1","key":"i0020-8868-99-1-91-b01","series-title":"Radiology","first-page":"150","article-title":"Portal venous stent placement in patients with pancreatic and biliary neoplasms invading portal veins and causing portal hypertension: initial experience","volume":"220","author":"Yamakado\n              K,","year":"2001","unstructured":"Yamakado\n              K, \n            \n              Nakatsuka\n              A, \n            \n              Tanaka\n              N, \n            \n              Fujii\n              A, \n            \n              Isaji\n              S, \n            \n              Kawarada\n              Y\n            \n            et al\n          . Portal venous stent placement in patients with pancreatic and biliary neoplasms invading portal veins and causing portal hypertension: initial experience. Radiology2001;220(1):150\u2013156"},{"issue":"50","key":"i0020-8868-99-1-91-b02","series-title":"Hepatogastroenterology","first-page":"453","article-title":"Percutaneous transhepatic metallic stent placement for malignant portal vein stenosis","volume":"50","author":"Tsukamoto\n              T,","year":"2003","unstructured":"Tsukamoto\n              T, \n            \n              Hirohashi\n              K, \n            \n              Kubo\n              S, \n            \n              Tanaka\n              H, \n            \n              Hamba\n              H, \n            \n              Shuto\n              T\n            \n            et al\n          . Percutaneous transhepatic metallic stent placement for malignant portal vein stenosis. Hepatogastroenterology2003;50(50):453\u2013455"},{"issue":"3","key":"i0020-8868-99-1-91-b03","series-title":"J Hepatobilliary Pancreat Surg","first-page":"331","article-title":"Palliative treatment with metallic stents for unresectable gallbladder carcinoma involving the portal vein and bile duct","volume":"7","author":"Tanaka\n              J,","year":"2000","unstructured":"Tanaka\n              J, \n            \n              Andoh\n              H, \n            \n              Yoshioka\n              M, \n            \n              Furuya\n              T, \n            \n              Asanuma\n              Y, \n            \n              Koyama\n              K. \n          \n          Palliative treatment with metallic stents for unresectable gallbladder carcinoma involving the portal vein and bile duct. J Hepatobilliary Pancreat Surg2000;7(3):331\u2013335"},{"issue":"2","key":"i0020-8868-99-1-91-b04","series-title":"Osaka City Med J","first-page":"99","article-title":"Portal vein stenting to treat portal vein tumor thrombus in hepatocellular carcinoma","volume":"46","author":"Higaki\n              I,","year":"2000","unstructured":"Higaki\n              I, \n            \n              Hirohashi\n              K, \n            \n              Kubo\n              S, \n            \n              Tanaka\n              H, \n            \n              Tsukamoto\n              T, \n            \n              Omura\n              T\n            \n            et al\n          . Portal vein stenting to treat portal vein tumor thrombus in hepatocellular carcinoma. Osaka City Med J2000;46(2):99\u2013104"},{"issue":"8","key":"i0020-8868-99-1-91-b05","series-title":"J Gastroenterol Hepatol","first-page":"1235","article-title":"Late complication in patients undergoing pancreatic resection with intraoperative radiation therapy: gastrointestinal bleeding with occlusion of the portal system","volume":"20","author":"Shimizu\n              Y,","year":"2005","unstructured":"Shimizu\n              Y, \n            \n              Yasui\n              K, \n            \n              Fuwa\n              N, \n            \n              Arai\n              Y, \n            \n              Yamao\n              K. \n          \n          Late complication in patients undergoing pancreatic resection with intraoperative radiation therapy: gastrointestinal bleeding with occlusion of the portal system. J Gastroenterol Hepatol2005;20(8):1235\u20131240"},{"issue":"61","key":"i0020-8868-99-1-91-b06","series-title":"Hepatogastroenterology","first-page":"191","article-title":"Clinical significance of portal venous metallic stent placement in recurrent periampullary cancers","volume":"52","author":"Yamazaki\n              S,","year":"2005","unstructured":"Yamazaki\n              S, \n            \n              Kuramoto\n              K, \n            \n              Itoh\n              Y, \n            \n              Watanabe\n              Y, \n            \n              Susa\n              N, \n            \n              Ueda\n              T. \n          \n          Clinical significance of portal venous metallic stent placement in recurrent periampullary cancers. Hepatogastroenterology2005;52(61):191\u2013193"},{"issue":"11","key":"i0020-8868-99-1-91-b07","series-title":"Surg Today","first-page":"1008","article-title":"Portal venous dilatation and stenting for bleeding jejunal varices: report of two cases","volume":"31","author":"Hiraoka\n              K,","year":"2001","unstructured":"Hiraoka\n              K, \n            \n              Kondo\n              S, \n            \n              Ambo\n              Y, \n            \n              Hirano\n              S, \n            \n              Omi\n              M, \n            \n              Okushiba\n              S\n            \n            et al\n          . Portal venous dilatation and stenting for bleeding jejunal varices: report of two cases. Surg Today2001;31(11):1008\u20131011"},{"issue":"1","key":"i0020-8868-99-1-91-b08","series-title":"J Hepatobiliary Pancreat Surg","first-page":"88","article-title":"Effect of a portal venous stent for gastrointestinal hemorrhage from jejunal varices caused by portal hypertension after pancreatoduodenectomy","volume":"12","author":"Ota\n              S,","year":"2005","unstructured":"Ota\n              S, \n            \n              Suzuki\n              S, \n            \n              Mitsuoka\n              H, \n            \n              Unno\n              N, \n            \n              Inagawa\n              S, \n            \n              Takehara\n              Y\n            \n            et al\n          . Effect of a portal venous stent for gastrointestinal hemorrhage from jejunal varices caused by portal hypertension after pancreatoduodenectomy. J Hepatobiliary Pancreat Surg2005;12(1):88\u201392"},{"issue":"3","key":"i0020-8868-99-1-91-b09","series-title":"Cardiovasc Intervent Radiol","first-page":"462","article-title":"Palliative portal vein stent placement in malignant and symptomatic extrinsic portal vein stenosis or occlusion","volume":"32","author":"Novellas\n              S,","year":"2009","unstructured":"Novellas\n              S, \n            \n              Denys\n              A, \n            \n              Bize\n              P, \n            \n              Brunner\n              P, \n            \n              Motamedi\n              JP, \n            \n              Gugenheim\n              J\n            \n            et al\n          . Palliative portal vein stent placement in malignant and symptomatic extrinsic portal vein stenosis or occlusion. Cardiovasc Intervent Radiol2009;32(3):462\u2013470"},{"issue":"6","key":"i0020-8868-99-1-91-b10","series-title":"World J Surg","first-page":"1147","article-title":"Bleeding varices of the small bowel as a complication of pancreatitis: case report and review of the literature","volume":"16","author":"Lein\n              BC,","year":"1992","unstructured":"Lein\n              BC, \n            \n              McCombs\n              PR. \n          \n          Bleeding varices of the small bowel as a complication of pancreatitis: case report and review of the literature. World J Surg1992;16(6):1147\u20131149"},{"issue":"3","key":"i0020-8868-99-1-91-b11","series-title":"Hepatogastroenterology","first-page":"276","article-title":"Massive and recurrent gastrointestinal hemorrhage due to jejunal varices in an afferent loop\u2013diagnosis and management","volume":"41","author":"Paquet\n              KJ,","year":"1994","unstructured":"Paquet\n              KJ, \n            \n              Lazar\n              A, \n            \n              Bickhart\n              J. \n          \n          Massive and recurrent gastrointestinal hemorrhage due to jejunal varices in an afferent loop\u2013diagnosis and management. Hepatogastroenterology1994;41(3):276\u2013277"},{"issue":"104","key":"i0020-8868-99-1-91-b12","series-title":"Hepatogastroenterology","first-page":"1367","article-title":"Interventional therapy for symptomatic-benign portal vein occlusion","volume":"57","author":"Liu\n              FY,","year":"2010","unstructured":"Liu\n              FY, \n            \n              Wang\n              MQ, \n            \n              Duan\n              F, \n            \n              Wang\n              ZJ, \n            \n              Song\n              P. \n          \n          Interventional therapy for symptomatic-benign portal vein occlusion. Hepatogastroenterology2010;57(104):1367\u20131374"},{"issue":"10","key":"i0020-8868-99-1-91-b13","series-title":"Pediatr Surg Int","first-page":"939","article-title":"Transileocolic venous balloon dilatation for the management of primary and recurrent portal venous stenosis after living donor liver transplantation in children","volume":"23","author":"Hotta\n              R,","year":"2007","unstructured":"Hotta\n              R, \n            \n              Hoshino\n              K, \n            \n              Nakatsuka\n              S, \n            \n              Nakao\n              S, \n            \n              Okamura\n              J, \n            \n              Yamada\n              Y\n            \n            et al\n          . Transileocolic venous balloon dilatation for the management of primary and recurrent portal venous stenosis after living donor liver transplantation in children. Pediatr Surg Int2007;23(10):939\u2013945"},{"issue":"12","key":"i0020-8868-99-1-91-b14","series-title":"J Vasc Intev Radiol","first-page":"1407","article-title":"Malignant portal venous obstructions treated by stent placement: significant factors affecting patency","volume":"12","author":"Yamakado\n              K,","year":"2001","unstructured":"Yamakado\n              K, \n            \n              Nakatsuka\n              A, \n            \n              Tanaka\n              N, \n            \n              Fujii\n              A, \n            \n              Terada\n              N, \n            \n              Takeda\n              K. \n          \n          Malignant portal venous obstructions treated by stent placement: significant factors affecting patency. J Vasc Intev Radiol2001;12(12):1407\u20131415"}],"container-title":["International Surgery"],"original-title":[],"link":[{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/99\/1\/article-p91.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/international-surgery\/article-pdf\/99\/1\/91\/2214091\/intsurg-d-13-00128_1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/99\/1\/article-p91.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/99\/1\/article-p91.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:08:28Z","timestamp":1751483308000},"score":1,"resource":{"primary":{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/99\/1\/article-p91.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":14,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.9738\/intsurg-d-13-00128.1","relation":{},"ISSN":["0020-8868","2520-2456"],"issn-type":[{"value":"0020-8868","type":"print"},{"value":"2520-2456","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014]]}}}