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Stomach Microcirculation
Published in John H. Barker, Gary L. Anderson, Michael D. Menger, Clinically Applied Microcirculation Research, 2019
The gastroepiploic arcade is formed by the left and right gastroepiploic arteries and it extends from the lower border of the first part of the duodenum to a point on the greater curvature just distal to the lower end of the spleen.12 The left gastroepiploic artery is a branch of the splenic artery and the right gastroepiploic artery is a branch of the gastroduodenal artery. The area of the stomach on the greater curvature proximal to the gastroepiploic arcade is supplied by the short gastric arteries that are branches of the splenic artery. Usually, there are two to four short gastric arteries, but the number varies from one to nine.1 The gastroduodenal artery is a branch of the hepatic artery and it supplies the pylorus.
Reconstructive Microsurgery in Head and Neck Surgery
Published in John C Watkinson, Raymond W Clarke, Terry M Jones, Vinidh Paleri, Nicholas White, Tim Woolford, Head & Neck Surgery Plastic Surgery, 2018
John C. Watkinson, Ralph W. Gilbert
The greater curve of the stomach and the omentum are supplied by the right and left gastroepiploic arteries, terminal branches of the gastroduodenal and splenic arteries, respectively. They course along the greater curvature of the stomach and anastomose with each other, forming the gastroepiploic arterial arch. From the gastroepiploic arch, numerous small branches extend to the greater curvature and three major omental arteries, the right, middle and left, supply the greater omentum. The right gastroepiploic artery is the dominant supply (Figure 93.19).
Stomach and duodenum
Published in Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie, Bailey & Love's Short Practice of Surgery, 2018
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie
The stomach has an arterial supply on both lesser and greater curves (Figure63.1). On the lesser curve, the left gastric artery, a branch of the coeliac axis, forms an anastomotic arcade with the right gastric artery, which arises from the common hepatic artery. Branches of the left gastric artery pass up towards the cardia. The gastroduodenal artery, which is also a branch of the hepatic artery, passes behind the first part of the duodenum, highly relevant with respect to the bleeding duodenal ulcer. Here it divides into the superior pancreaticoduodenal artery and the right gastroepiploic artery. The superior pancreaticoduodenal artery supplies the duodenum and pancreatic head, and forms an anastomosis with the inferior pancreaticoduodenal artery, a branch of the superior mesenteric artery. The right gastroepiploic artery runs along the greater curvature of the stomach, eventually forming an anastomosis with the left gastroepiploic artery, a branch of the splenic artery. This vascular arcade, important for the construction of the gastric conduit in oesophageal resection, is often variably incomplete. The fundus of the stomach is supplied by the vasa brevia (or short gastric arteries), which arise from near the termination of the splenic artery.
Does transverse colon cancer spread to the extramesocolic lymph node stations?
Published in Acta Chirurgica Belgica, 2021
Bulent C. Yuksel, Sadettin ER, Erdinç Çetinkaya, Ahmet Keşşaf Aşlar
Previous research mostly reported onextramesocolic positive lymph nodes located in the head of the pancreas and right-GEOM region in patients with hepatic flexure tumors; moreover, in the current study, we detected diffuse conglomerated lymph nodes in these areas. Previous authors suggested that this positivity might be related to the communication between the right gastroepiploic artery and the A. pancreatica transverse and rami pancreatici.
Tissue Oxygen Saturation during Gastric Tube Reconstruction with Cervical Anastomosis for Esophagectomy: A Case Series
Published in Journal of Investigative Surgery, 2022
Kenjiro Ishii,, Yasuhiro Tsubosa,, Shuhei Mayanagi,, Masazumi Inoue,, Ryoma Haneda,
In terms of blood supply to the gastric tube, the right gastroepiploic artery is the exclusive conduit of blood to the pedicle and the blood supply of the cranial 20% of the greater curvature of the stomach is supplied by a microscopic network of capillaries and arterioles [19]. Therefore, it is conceivable that the blood flow to the cranial side of the gastric tube gradually decreases toward the tip as it is raised to the cervical site.