+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Changes in gastrosplenic circulation and splenic function after distal pancreatectomy with spleen preservation and splenic vessel excision

, : Changes in gastrosplenic circulation and splenic function after distal pancreatectomy with spleen preservation and splenic vessel excision. Journal of Gastrointestinal Surgery 17(10): 1739-1743

Distal pancreatectomy with spleen preservation and splenic vessel excision is a commonly used technique. However, it produces significant gastrosplenic circulation and splenic function changes. The aim of this work was to determine the immediate consequences on gastrosplenic circulation, late consequences on splenic function, and development of varicose veins. Thirty-five patients with pancreatic tumors and anatomical feasibility were included. Preoperative splenic circulation was evaluated by dynamic contrast-enhanced computed tomography (CT) scans. Early splenic perfusion was assessed by CT 7 days after surgery and late changes in gastrosplenic circulation 6 months after surgery. Varicose veins were evaluated by CT and endoscopy 6 months after surgery. Pitted cells and Howell-Jolly bodies were used as markers of splenic function. Postoperatory findings included changes in splenic perfusion 7 days and 6 months after surgery, development of varicose veins on CT scans and endoscopy, and detection of markers of splenic hypofunction on blood smears. Seven days after surgery, 63% of patients had some degree of splenic hypoperfusion, and 6 months after surgery, 83% of patients had normal perfusion. CT scans showed varices in 26 patients, and endoscopy revealed varicose veins in 11. Two patients experienced bleeding; markers of splenic hypofunction were found in 59% of cases.


PMID: 23943386

DOI: 10.1007/s11605-013-2300-8

Other references

Abe, Natsue, 2011: Rutile included in the podiform chromitite from ocean floor at MAR 15 degrees 20N FZ, Site 1271, ODP Leg 209. Several podiform chromitites includes rutile grains in abyssal peridotite are recovered from Site 1271 at Mid- Atlantic Ridge (MAR) 15 degrees 20' N fracture zone (FZ) during an ocean drilling cruise, ODP Leg 209 [1]. Only chromian spinel is...

Dakhkil gov T.D.; Braylovskiy A.L.; Shnurman I.G., 1987: Logging research in the Jurassic strata of Stavropol. Geologiya Nefti i Gaza 1987(1): 52-55

Hubaut, Damien, 2004: Des merles voyageurs. A blackbird's brood was raised successfully in a nest build on a railway engine that was regularly used on short journeys.

Suh, S.K.; Park, H.G.; Green, S.K., 1996: Production of monoclonal antibodies against strains of turnip mosaic virus. Hybridoma cell lines secreting monoclonal antibodies against turnip mosaic virus (TuMV) were derived from BALB/c mice immunized with either five strains or individual strains. An intravenous-intrasplenic immunization was the best among four differ...

Dilworth B.C.; Guevara V.G.; Davis D.; Day E.J., 1980: Effect of excessive calcium and phosphorus in broiler diets. Poultry Science 59(7): 1562

Gonçalves, F.; Almeida, A.; Antunes, C.; Cardoso, M.; Carvalho, M.; Claro, M.; Coimbra, F.; Diniz, Iês.; Fonseca, B.; Fradique, Eília.; Gonçalves, E.; Gonçalves, F.; Gonçalves, M.; Magalhães, Aérico.; Pina, P.; Pires, Cção.; Silva, P.; Silva, R.; Silva, R.; Tavares, F.; Teixeira, L., 2014: Symptoms other than pain in palliative care in Portugal. To study the burden of patients' symptoms other than pain and their treatment by Portuguese palliative care teams. Of the 21 Portuguese palliative care teams identified, 10 accepted to participate. Data from all patients observed on the 18th...

Lin, R-Biao.; Chen, D.; Lin, Y-Yong.; Zhang, J-Peng.; Chen, X-Ming., 2013: A zeolite-like zinc triazolate framework with high gas adsorption and separation performance. The reaction of commercially available 3-amino-1,2,4-triazole (Hatz) and Zn(OH)(2) at room temperature produced a porous zeolite-like metal azolate framework, [Zn(atz)(2)] (MAF-66). Single-crystal X-ray diffraction studies of MAF-66 showed that at...

Blumenthal, E.Z.; Frenkel, S., 2003: Inter device reproducibility of the scanning laser polarimeter with variable cornea compensation. Purpose: To evaluate the inter-device reproducibility of retinal nerve fiber layer (RNFL) thickness measurements obtained with the commercially available GDx-VCC, a scanning laser polarimeter with variable (individualized) corneal compensation. Me...

Ford, Harry W., 1953: Effect of spreading decline disease on the distribution of feeder roots of orange and grapefruit trees on rough lemon rootstock. Mature citrus trees affected with spreading decline were found to have about 40% fewer feeder roots than healthy trees. The decline trees have more roots in the upper 10 in. of soil but almost none below 30 to 42 in. In the majority of the groves...

Tieman, J., 2001: Follow the winners. Top 100 cardiovascular hospitals cut mortality rates as well as costs, study finds. Modern Healthcare 31(27): 40-41