Surgeons must prioritize preoperative identification of celiac artery stenosis in patients undergoing pancreaticoduodenectomy to reduce ischemic complications.
- Celiac artery stenosis occurs in 6.1% of patients undergoing the procedure; only 2.2% had preemptive median arcuate ligament release.
- Stenosis over 80% significantly increases the risk of postoperative ischemia.
Identifying stenosis preoperatively results in fewer complications (5.8% vs. 36% for intraoperative/postoperative diagnoses).
- Utilize gastroduodenal artery clamping and intraoperative Doppler ultrasonography to guide management decisions effectively.
Systematic Review by Ideno N, Ikenaga N (…) Nakamura M et 12 al. in Asian J Endosc Surg
© 2026 The Author(s). Asian Journal of Endoscopic Surgery published by Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.