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Splenic vessel patency: is it real menace to perform laparoscopic splenic vessel-preserving distal pancreatectomy

Park DJ, Han IW, Han SH, Han SJ, You YH, Rhu YJ, Heo JS, Choi SH, Choi DW

PURPOSE: This study compared the patency of the splenic vessels between laparoscopic and open spleen and splenic vessel-preserving distal pancreatectomy. METHODS: We retrospectively reviewed a database of 137 patients who underwent...
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Study of surgical anatomy of portal vein of liver segments by cast method and its clinical implications

Shrikantaiah VC, Basappa M, Hazrika S, Ravindranath R

Portal vein provides about three-fourths of liver's blood supply. Portal vein is formed behind the neck of pancreas, at the level of the second lumbar vertebra and formed from the...
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Laparoscopic pancreaticoduodenectomy with segmental resection of superior mesenteric vein-splenic vein-portal vein confluence in pancreatic head cancer: can it be a standard procedure?

Park H, Kang I, Kang CM

The feasibility of laparoscopic pancreaticoduodenectomy (LPD) in the treatment of pancreatic cancer is still disputed. However, advances in surgical technique and accumulating experience have led to the use of LPD...
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Streamline flow of the portal vein affects the lobar distribution of colorectal liver metastases and has a clinical impact on survival

Rhu J, Heo JS, Choi SH, Choi DW, Kim JM, Joh JW, Kwon CH

PURPOSE: It is believed that blood from the superior mesenteric vein and splenic vein mixes incompletely in the portal vein and maintains a streamline flow influencing its anatomic distribution. Although...
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Medical Management of Chronic Pancreatitis: What Can Physicians Do?

Lee KH

Chronic pancreatitis is characterized by the progressive inflammation and irreversible fibrosis of pancreas causing pancreatic dysfunctions and various complications. The most common symptom is abdominal pain. In addition various complications...
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Endovascular stent graft for traumatic splenic vein aneurysm via percutaneous transsplenic access

Kwon OS, Sul YH, Kim JS, Kim JD

Traumatic splenic vein aneurysm (SVA) is an extremely rare entity. Traditionally, treatment varied from noninvasive followup to aneurysm excision with splenectomy. However, there has been no prior report of traumatic...
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Follow-up results of acute portal and splenic vein thrombosis with or without anticoagulation therapy after hepatobiliary and pancreatic surgery

Cho CW, Park YJ, Kim YW, Choi SH, Heo JS, Choi DW, Kim DI

PURPOSE: Acute portal and splenic vein thrombosis (APSVT) after hepatobiliary and pancreatic (HBP) surgery is a rare but serious complication and a treatment strategy has not been well established. To...
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Combination of Surgical Thrombectomy and Direct Thrombolysis in Acute Abdomen with Portal and Superior Mesenteric Vein Thrombosis

Jung HJ, Lee SS

Portal vein (PV) thrombosis (PVT) is a rare condition with development of thrombosis in the PV and its branches. Further extension to the splenic and superior mesenteric vein (SMV) causes...
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A Case of Portal Vein and Splenic Vein Occlusion after Endoscopic Variceal Occlusion Therapy in Gastric Variceal Bleeding

Kang EJ, Park SY, Lee YR, Kim CY, Ahn SY, Park JG, Lee HS, Tak WY, Kweon YO

Acute gastric variceal bleeding is one of the most serious complications in portal hypertension, and is associated with high mortality and morbidity. Endoscopic variceal obturation (EVO) using Histoacryl(R) (n-butyl-2-cyanoacrylate) has...
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Idiopathic Splenic Vein Thrombosis Presenting as Splenic Infarction and Consequent Gastric Variceal Bleeding

Lee YB, Kim SM, Heo JS, Seok H, Shin IS, Eun YH, Kim DK

Left-sided portal hypertension and consequent gastric varices can occur in patients with isolated splenic vein thrombosis. It is a rare but clinically significant and curable cause of gastrointestinal hemorrhage. Our...
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Pure single-incision laparoscopic D2 lymphadenectomy for gastric cancer: a novel approach to 11p lymph node dissection (midpancreas mobilization)

Ahn SH, Jung DH, Son SY, Park DJ, Kim HH

We developed a novel approach to perform a perfect 11p lymph node dissection (LND), the so-called 'midpancreas mobilization' (MPM) method. Briefly, in pure single-incision laparoscopic distal gastrectomy (SIDG), after the...
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Portal and Splenic Vein Thrombosis Successfully Treated with Anticoagulants in Acute Pancreatitis

Seong JS, Song JH, Cho KP, Lee JS, Woo YM, Jeong BJ, Cho YJ, Han YJ

Splanchnic vein thrombosis arising from complications of acute pancreatitis is very rare. It usually occurs as a form of portal, splenic and superior mesenteric vein thrombosis, either in combination or...
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Nephrotic syndrome complicated with portal, splenic, and superior mesenteric vein thrombosis

Park BS, Park S, Jin K, Choi G, Park KM, Jo KM, Kim YW

Thromboembolism is a major complication of nephrotic syndrome. Renal vein thrombosis and deep vein thrombosis are relatively common, especially in membranous nephropathy. However, the incidence of portal vein and superior...
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Portal-Splenic-Mesenteric Venous Thrombosis in a Patients with Protein S Deficiency due to Novel PROS1 Gene Mutation

Hwang ET, Kang WS, Park JW, Lee JH, Han HJ, Shin SY, Kim HJ, Choi JS

Protein S (PS), a vitamin K-dependent glycoprotein, performs an important role in the anticoagulation cascade as a cofactor of protein C. Because of the presence of a pseudogene and two...
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Non-invasive MR Demonstration of the Fistula between Pancreatic Pseudocyst and Portal Vein: A Case Report

Kim SM, Lee YH, Kang UR

Pancreatic pseudocyst rupture into the portal vein is a very rare complication and only three reported cases were confirmed using MRI. We report the case of a 50-year-old man with...
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Management of Venous Thrombosis in Atypical Location

Bang SM

Venous thrombosis in atypical locations means thrombosis of upper extremity deep vein, cerebral venous sinus, splanchnic vein including portal, hepatic, mesenteric and splenic vein, renal vein, ovarian vein and retinal...
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Ultrasonographic scoring system score versus liver stiffness measurement in prediction of cirrhosis

Moon KM, Kim G, Baik SK, Choi E, Kim MY, Kim HA, Cho MY, Shin SY, Kim JM, Park HJ, Kwon SO, Eom YW

BACKGROUND/AIMS: We compared the cirrhosis-prediction accuracy of an ultrasonographic scoring system (USSS) combining six representative sonographic indices with that of liver stiffness measurement (LSM) by transient elastography, and prospectively investigated...
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The Risk Factors for Bleeding of Fundal Varices in Patients with Liver Cirrhosis

Park EJ, Jang JY, Lee JE, Jeong SW, Lee SH, Kim SG, Cha SW, Kim YS, Cho YD, Cho JY, Kim HS, Kim BS, Kim YJ

  • KMID: 1712331
  • Gut Liver.
  • 2013 Nov;7(6):704-711.
BACKGROUND/AIMS: The relationship between portal hemodynamics and fundal varices has not been well documented. The purpose of this study was to understand the pathophysiology of fundal varices and to investigate...
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Extensive Thrombosis in a Patient with Familial Mediterranean Fever, Despite Hyperimmunoglobulin D State in Serum: First Adult Case in Korea

Joo K, Park W, Chung MH, Lim MJ, Jung KH, Heo Y, Kwon SR

Familial Mediterranean fever (FMF) is an autosomal recessive disease characterized by recurrent episodes of fever accompanied by peritonitis, pleuritis, arthritis, or erysipelas-like erythema. It is known to occur mainly among...
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Two Cases of Portal Annular Pancreas

Jang JY, Chung YE, Kang CM, Choi SH, Hwang HK, Lee WJ

Portal annular pancreas is one of the pancreatic fusion anomalies in which the uncinate process of the pancreas extends to fuse with the dorsal pancreas by encircling the portal vein...
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