@article{oai:showa.repo.nii.ac.jp:00004238,
 author = {NAKAMURA, Akihiro and TAKAHASHI, Yuki and MATSUO, Kenichi and OYAMA, Hideyuki and SEKINE, Ryuichi and UCHIDA, Tsuneyuki and MAKUUCHI, Mikio and TANAKA, Kuniya},
 issue = {1},
 journal = {The Showa University journal of medical sciences},
 month = {2023-03, 2023-04-24},
 note = {Brittle diabetes, malabsorption, and liver steatosis are the most common adverse consequences of total pancreatectomy （TP）. While some authors have described gastric venous congestion and bleeding, details of gastric venous drainage following TP remain incompletely known. We examined the effectiveness of our methods for avoiding gastric venous congestion in five patients who recently underwent TP. During TP, our standard practice is preservation of at least one vein providing gastric drainage. When no pancreatic vein draining the stomach can be preserved, a relatively extensive gastrectomy is added. Among five patients who underwent TP, preservation of the left gastric vein was possible in three patients, whereas the posterior and short gastric veins and the splenic vein were preserved in one patient. These four patients underwent subtotal stomach-preserving TP or TP with distal gastrectomy in two patients each. One patient requiring sacrifice of all gastric drainage veins additionally underwent TP with subtotal gastrectomy. No patient developed gastric venous congestion or bleeding; patency of drainage veins in four patients was confirmed by postoperative three-dimensional computed tomography. Postoperative body weight decreased compared with preoperative weight in three patients; however, nutritional parameters on postoperative blood tests did not significantly change compared with preoperative values. The favorable outcomes of our strategy for gastric vein preservation in TP should encourage more frequent use of TP when required.},
 pages = {19--24},
 title = {Gastric vein preservation to minimize gastric venous congestion following total pancreatectomy},
 volume = {35},
 year = {}
}