J.Jpn. Surg. Soc.. 61(7): 943-958, 1960
Original article
CLINICAL STUDY ON THE GASTRO-PORTAL VENOGRAPHY.
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Department of Surgery, Keio University School of Medicine (Director: Prof. Nobukatsu SHIMADA) Ryo ARAKAWA |
2) Gastroepiploic, gastric coronary, gastric mural, splenic, main stem of the hepatic and intraheptic portal veins were clearly shown in all cases like gastroduodenal ulcer which revealed little organic change in other organs.
3) Esophageal veins and varices were also shown in hypertensive as well as non-hypertensive cases of the portal vein.
4) Gastric mural vein was shown in addition to the region taken by venographies per the spleen and per mesenteric veins.
5) As to criteria of resectability in gastric cancer, oppression and stenosis of the superior mesenteric veins should be considered as well as oppression, stenosis, abnormal running, regurgitation and collateral splenic veins.
6) The mode of gastric mural veins was classified into three groups as branch formation, gross nets and fine nets types.
Gross nets type was in the corpus and fine nets type was in the pyloric region in about a half of chronic gastritis. The number of gross nets type was about the same as those of fine nets in the corpus of attendant gastritis concomitant to the gastro-duodenal ulcer. In the pyloric region, fine nets type was in a half of cases. In 2/3 of the corporal and pyloric regions, the fine nets type was shown in attendant gastritis concominant to the gastric carcinoma. In case of portal hypertension, the gastric mural vein showed fine nets type which was due to the stagnant venous flow.
(Author's abstract)
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