Skip to main content
SpringerLink
Log in

Arteriographic evaluation of postsurgical stomach

  • Published:
Gastrointestinal Radiology Aims and scope Submit manuscript

Abstract

Visceral arteriography was performed in 35 adult patients who had undergone various types of gastric surgery. Nineteen of these patients had presented with gastrointestinal hemorrhage at different postoperative intervals (4 days–23 years). Arteriography showed the bleeding site in 14 (74%) and permitted its nonoperative control in 8 cases. Diffuse hemorrhage from the gastric pouch as well as localized bleeding from suture line, marginal or stress ulcers, and other sources were recognized. Arteriography was also crucial in the diagnosis of iatrogenic arteriovenous fistulas, telangiectasia in the anastomotic regions, inadvertently ligated arteries, and postoperative changes in the vascular architecture. Value and limitations of arteriography of the postsurgical stomach are presented together with a review of the pertinent literature.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Burhenne HJ: The postoperative stomach. In Margulies AR, Burhenne HJ (eds):Alimentary Tract Roentgenology, Vol. I. St. Louis: CV Mosby, 1973, pp 740–783

    Google Scholar 

  2. Bushkin FL, Wickbom G, DeFord GW: Postoperative alkaline reflux gastritis.Surg Gynecol Obstet 138:933–939, 1974

    CAS  PubMed  Google Scholar 

  3. Cen M. Dihlmann W: Roentgenbefunde am operierten Magen in Abhängigkeit vom postoperierten Intervall.Radiologe 9:187–195, 1969

    CAS  PubMed  Google Scholar 

  4. Jay BS, Burrell M: Iatrogenic problems following gastric surgery.Gastrointest Radiol 2:239–257, 1977

    Article  CAS  PubMed  Google Scholar 

  5. Ominsky SH, Moss AA: The postoperative stomach: a comparative study of double-contrast barium examination and endoscopy.Gastrointest Radiol 4:17–21, 1979

    Article  CAS  PubMed  Google Scholar 

  6. Schulman A: Anastomotic gastrojejunal ulcer: accuracy of radiological diagnosis in surgically proven cases.Br J Radiol 33:422–433, 1971

    Google Scholar 

  7. Goodman AA, Frey CF: Massive upper gastrointestinal hemorrhage following surgical operations.Ann Surg 167:180–184, 1968

    CAS  PubMed  Google Scholar 

  8. Rosenbaum A, Siegelman S, Sprayorgen S: The bleeding marginal ulcer: catheterization diagnosis and therapy.AJR 125:812–815, 1975

    CAS  Google Scholar 

  9. Athanasoulis CA, Waltman AC, Ring EJ: Angiographic management of postoperative bleeding.Radiology 113:37–42, 1974

    CAS  PubMed  Google Scholar 

  10. Baum S, Nusbaum M: The control of gastrointestinal hemorrhage by selective mesenteric arterial infusion of vasopressin.Radiology 98:497–505, 1971

    CAS  PubMed  Google Scholar 

  11. Baum S, Ward S, Nusbaum M: Stress bleeding from the mid-duodenum. An often unrecognized source of gastrointestinal hemorrhage.Radiology 95:595–602, 1970

    CAS  PubMed  Google Scholar 

  12. Blackwell TL, Whelan TJ: Arteriovenous fistula as a complication of gastrectomy.Am J Surg 109:197–200, 1965

    CAS  PubMed  Google Scholar 

  13. Korobkin M, Kantor I, Pollard JJ: Arteriovenous fistula between systemic and portal circulations following partial gastrectomy.Radiology 109:311–314, 1973

    CAS  PubMed  Google Scholar 

  14. Reuter SR, Chuang VP, Bree RL: Selective arterial embolization for control of massive upper gastrointestinal bleeding.AJR 125:119–126, 1975

    CAS  Google Scholar 

  15. Rosenkrantz JG, Bartlett MK: Hemorrhage from gastritis: an analysis of 44 proven cases.Ann Surg 153:617–624, 1961

    CAS  PubMed  Google Scholar 

  16. Rossi P, Carillo FJ, Alfidi RJ, Ruzicka FF: Iatrogenic arteriovenous fistulas.Radiology 111:47–51, 1974

    CAS  PubMed  Google Scholar 

  17. Schulz HG, Barke R, Reidmann J, Müller L: Veränderungen in der Vaskularisation der des Oberbauches, speziell des Pankreas nach Magenoperationen.Zentralbl Chir 101:1049–1057, 1976

    CAS  PubMed  Google Scholar 

  18. Silverberg PW: The arteriographic demonstration of bleeding in the duodenal stump.Radiology 100:315–317, 1971

    CAS  PubMed  Google Scholar 

  19. Thompson JE, Rodgers JB: The management and prevention of abdominal complications associated with gastric and duodenal surgery.Am Surgeon 30:553–560, 1964

    CAS  PubMed  Google Scholar 

  20. Walter JF, Bookstein JJ, Kramar RA: Therapeutic angiography: its value to the surgical patient.Arch Surg 113:432–439, 1978

    CAS  PubMed  Google Scholar 

  21. Goldman ML, Land WC, Bradley EL, Anderson J: Transcatheter therapeutic embolization in the management of upper gastrointestinal bleeding.Radiology 120:513–521, 1976

    CAS  PubMed  Google Scholar 

  22. Ghahremani GG, Hietala SO: Arteriography of a bleeding duodenal diverticulum.Am J Dig Dis 22:445–448, 1977

    Article  CAS  PubMed  Google Scholar 

  23. Lulu DJ, Dragstedt LR: Massive bleeding due to acute hemorrhagic gastritis.Arch Surg 101:550–554, 1970

    CAS  PubMed  Google Scholar 

  24. Herrington JL, Sawyers JL, Whitehead WA: Surgical management of reflux gastritis.Ann Surg 180:526–539, 1974

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Departments of Diagnostic Radiology, University Hospital of Umeå, Umeå, Sweden

    Sven-Ola Hietala & Marianne Wirell

  2. Departments of Diagnostic Radiology, Evanston Hospital-Northwestern University, Evanston, Illinois, USA

    Gary G. Ghahremani M.D. & Arthur R. Crampton

Authors
  1. Sven-Ola Hietala
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gary G. Ghahremani M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Arthur R. Crampton
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Marianne Wirell
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hietala, SO., Ghahremani, G.G., Crampton, A.R. et al. Arteriographic evaluation of postsurgical stomach. Gastrointest Radiol 10, 31–37 (1985). https://doi.org/10.1007/BF01893066

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01893066

Key words

Search

Navigation