scholarly journals Ampullary adenocarcinoma in a patient with portal annular pancreas: Relevance of the surgical approach in the Whipple procedure

2021 ◽  
Author(s):  
E. Castro ◽  
G.E. Sánchez-Morales ◽  
J.D. Hernández-Acevedo ◽  
E. Sánchez García-Ramos ◽  
C. Chan
Keyword(s):  
Surgical Approach ◽  
Whipple Procedure ◽  
Annular Pancreas ◽  
Ampullary Adenocarcinoma ◽  
Portal Annular Pancreas

scholarly journals Portal annular pancreas: An unusual pancreatic anomaly

2016 ◽  
Vol 153 (2) ◽  
pp. 153-155 ◽  
Author(s):  
M. Narita ◽  
H. Hata ◽  
I. Ikai
Keyword(s):  
Annular Pancreas ◽  
Portal Annular Pancreas

scholarly journals Portal annular pancreas: the pancreatic duct ring sign on MRCP

2015 ◽  
Vol 10 (4) ◽  
pp. 42-45 ◽  
Author(s):  
Chinar O. Lath ◽  
Dilpesh S. Agrawal ◽  
Michael E. Timins ◽  
Melissa M. Wein
Keyword(s):  
Pancreatic Duct ◽  
Annular Pancreas ◽  
Portal Annular Pancreas

Pancreaticogastrostomy Prevents Postoperative Pancreatic Fistula of Portal Annular Pancreas During Pancreaticoduodenectomy

2016 ◽  
Vol 101 (11-12) ◽  
pp. 550-553
Author(s):  
Ippei Matsumoto ◽  
Keiko Kamei ◽  
Shumpei Satoi ◽  
Takuya Nakai ◽  
Yoshifumi Takeyama
Keyword(s):  
Portal Vein ◽  
Pancreatic Fistula ◽  
Dorsal Surface ◽  
Uncinate Process ◽  
Postoperative Pancreatic Fistula ◽  
The Body ◽  
Annular Pancreas ◽  
Exocrine Function ◽  
Portal Annular Pancreas ◽  
Increased Risk

Portal annular pancreas (PAP) is an asymptomatic congenital pancreatic anomaly in which the uncinate process of the pancreas extends and fuses to the dorsal surface of the body of the pancreas by surrounding the portal vein and or the superior mesenteric vein. During pancreaticoduonectomy (PD), the presence of PAP significantly increased risk for postoperative pancreatic fistula (POPF) because specific management of 2 pancreatic resection planes with 1 or 2 pancreatic ducts is required for pancreatico-intestinal reconstruction. To reduce the risk of POPF, a shift of the resection plain to the left for 1 anastomosis is recommended. We report a case of PAP that was successfully performed PD with pancreaticogastrostomy (PG). PG was conducted with invagination of the 2 resected pancreatic planes together into the stomach to minimize resected volume of the pancreas. A 78-year-old male patient with PAP underwent PD due to a duodenal adenocarcinoma. Intraoperatively, the uncinate process extended extensively behind the portal vein and fused with the dorsal surface of the pancreatic body above the splenic vein. For pancreatico-intestinal reconstruction, PG was performed with invagination of the 2 resected pancreatic planes together into the stomach. The postoperative course was uneventful, and he was discharged on postoperative day 12. Endocrine and exocrine function of the pancreas were maintained well at 10 months after surgery. PG is one of the useful choices for patients with PAP to prevent POPF while maintaining the pancreatic endocrine and exocrine function after PD.

scholarly journals Portal annular pancreas

2018 ◽  
Vol 23 (3) ◽  
pp. 64-68
Author(s):  
E. A. Akhtanin ◽  
A. A. Goev ◽  
P. I. Davydenko ◽  
A. G. Kriger
Keyword(s):  
Portal Vein ◽  
Clinical Observation ◽  
Pancreatic Head ◽  
Annular Pancreas ◽  
Head Cancer ◽  
Pancreatic Head Cancer ◽  
Portal Annular Pancreas

The clinical observation of a patient with pancreatic head cancer and intrapancreatic location of the portal vein is described. Surgical features of pancreatoduodenectomy, intraoperative complexities due to portal vein localization are comprehensively presented. Literature data are reviewed.

scholarly journals Surgical management of intraoperatively diagnosed portal annular pancreas

Medicine ◽  
2021 ◽  
Vol 100 (50) ◽  
pp. e28204
Author(s):  
Nobutaka Abe ◽  
Sang-Woong Lee ◽  
Tetsunosuke Shimizu ◽  
Mitsuhiro Asakuma ◽  
Kohei Taniguchi ◽  
...  
Keyword(s):  
Surgical Management ◽  
Annular Pancreas ◽  
Portal Annular Pancreas

scholarly journals A Case of Pancreatic Head Cancer with Portal Annular Pancreas

2015 ◽  
Vol 76 (8) ◽  
pp. 2037-2040
Author(s):  
Kentaro GEJIMA ◽  
Naoki ISHIZAKI ◽  
Hiroshi YASUDA ◽  
Yoshihiro MORIMOTO ◽  
Teruhiko WATANABE ◽  
...  
Keyword(s):  
Pancreatic Head ◽  
Annular Pancreas ◽  
Head Cancer ◽  
Pancreatic Head Cancer ◽  
Portal Annular Pancreas

A patient with a neuroendocrine tumor of the pancreatic uncinate process with portal annular pancreas

Suizo ◽  
2021 ◽  
Vol 36 (2) ◽  
pp. 128-134
Author(s):  
Daisuke SHIRAI ◽  
Akihiro MURATA ◽  
Sadatoshi SHIMIZU ◽  
Shintaro KODAI ◽  
Kotaro MIURA ◽  
...  
Keyword(s):  
Neuroendocrine Tumor ◽  
Uncinate Process ◽  
Annular Pancreas ◽  
Portal Annular Pancreas

scholarly journals Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S712
Author(s):  
A. Manzoni ◽  
G. Zimmitti ◽  
F. Guerini ◽  
V. Sega ◽  
C. Codignola ◽  
...  
Keyword(s):  
Annular Pancreas ◽  
Laparoscopic Pancreaticoduodenectomy ◽  
Portal Annular Pancreas
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