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Updated: Mar 12, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Prominent gastroduodenal artery: Endosonographic sign of celiac artery stenosis
Can Gonen1, Ali Sürmelioğlu2, Metin Tilki2
1Department of Gastroenterology, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey.
Abstract:
Celiac artery (CA) stenosis is a relatively common finding in patients undergoing pancreaticoduodenectomy (PD). In the presence of CA stenosis, arterial blood supply to the celiac territory is usually sustained from the superior mesenteric artery (SMA) through well-developed collaterals. In this paper, the authors report endosonographically identified prominent gastroduodenal artery as the sign of CA stenosis for the first time. Uncovering previously unidentified vascular abnormality, endoscopic ultrasound (EUS) has improved patient management. The patient had uneventful collateral preserving PD.
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