A CASE OF ARTERIOPORTAL FISTULA AFTER GASTRECTOMY

• WATAHIKI Yoichi

  Department of Surgery, Shimizu City Hospital

• MORI Kikuro

  Department of Surgery, Shimizu City Hospital

• HOJO Masahisa

  Department of Surgery, Shimizu City Hospital

• KOSAKA Akio

  Department of Surgery, Shimizu City Hospital

• NAKAMURA Satoshi

  Department of Surgery, Hamamatsu University School of Medicine

Bibliographic Information

Other Title

• 胃切除後に発症した動静脈瘻の1例

Abstract

We have experienced a case of arteriovenous (arterioportal) fistula between the right gastroepiploic artery and vein after gastrectomy. A 45-year-old man without any complaints was unexpectedly pointed out of a thrill of the upper abdomen. In spite of an increase in portal blood flow, the portal venous pressure was kept at a normal level (13cm H₂O), which did not influence to the liver confirmed by microscopical examination. After the resection of the fistula the hepatic blood reduced to a half, the portal blood flow reduced to one third, and the portal blood pressure was 11cm H₂O. The postoperative course was uneventful without any changes in the hepatic function.<br> It si considered that the case did not show portal hypertension due to the short duration from the onset, small size fo the fistula and the normal compliance of the portal system without any hepatic disease.

Journal

• The journal of the Japanese Practical Surgeon Society

  The journal of the Japanese Practical Surgeon Society 57 (10), 2472-2476, 1996

  Japan Surgical Association

Keywords

• 動脈門脈瘻
• 胃切除
• 門脈圧亢進

Details

• CRID: 1390001205314029696
• NII Article ID: 130003599816
• NII Article ID: 10008524904
• NII Book ID: AN00198696
• DOI: 10.3919/ringe1963.57.2472
• ISSN: 21892075
• ISSN: 03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/57/10/57_10_2472/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1997085707
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed