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Stent Placement for Portal Vein Stenosis After Pancreaticoduodenectomy

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Abstract

Background

Portal vein (PV) stenosis is a worrisome late complication following pancreaticoduodenectomy (PD) that causes intestinal bleeding from varices, which must be diagnosed correctly and treated promptly. Recent reports advocate the usefulness of stent placement to improve PV stenosis.

Methods

We evaluated the cause, diagnosis, and treatment method of PV stenosis after PD and the duration of stent patency in our institution.

Results

Intestinal bleeding caused by PV stenosis occurred in 5 (2.4 %) of 205 patients. A computed tomography scan was useful to diagnose this complication. Four of 5 patients with PV stenosis underwent percutaneous transhepatic PV stent placement. The duration of stent patency was 21–41 months, and no rebleeding occurred.

Conclusions

Percutaneous stent placement is viable, less invasive option than laparotomy for the management of PV stenosis after PD.

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Acknowledgments

Grant support: No support was received in relation to this manuscript.

Conflict of interest

All authors declare no conflicts of interest.

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Authors and Affiliations

  1. Department of Surgical Oncology and Regulation of Organ Function, Miyazaki University School of Medicine, 5200 Kihara, Kiyotake, Miyazaki, Japan

    Masahide Hiyoshi, Yoshiro Fujii, Kazuhiro Kondo, Naoya Imamura, Motoaki Nagano & Jiro Ohuchida

Authors
  1. Masahide Hiyoshi
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  2. Yoshiro Fujii
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  3. Kazuhiro Kondo
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  4. Naoya Imamura
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  5. Motoaki Nagano
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  6. Jiro Ohuchida
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Corresponding author

Correspondence to Masahide Hiyoshi.

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Hiyoshi, M., Fujii, Y., Kondo, K. et al. Stent Placement for Portal Vein Stenosis After Pancreaticoduodenectomy. World J Surg 39, 2315–2322 (2015). https://doi.org/10.1007/s00268-015-3094-5

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  • DOI: https://doi.org/10.1007/s00268-015-3094-5

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