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Applied Surgical Anatomy
Published in Tjun Tang, Elizabeth O'Riordan, Stewart Walsh, Cracking the Intercollegiate General Surgery FRCS Viva, 2020
Vishal G Shelat, Andrew Clayton Lee, Julian Wong, Karen Randhawa, CJ Shukla, Choon Sheong Seow, Tjun Tang
What are the complications of splenectomy?Bleeding from short gastric arteriesInjury to the tail of pancreas; pancreatic leakInjury to the greater curvature of the stomach, resulting in acute gastric dilatation.Injury to splenic flexureOPSI – opportunistic post-splenectomy infection
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.
The Abdomen
Published in Kenneth D Boffard, Manual of Definitive Surgical Trauma Care: Incorporating Definitive Anaesthetic Trauma Care, 2019
The splenic artery, a branch of the coeliac axis, provides the principal blood supply to the spleen. The artery gives rise to a superior polar artery, from which the short gastric arteries arise. The splenic artery also gives rise to superior and inferior terminal branches that enter the splenic hilum. The artery and the splenic vein are embedded in the superior border of the pancreas.
Invited Commentary on “Is there Necessity for Oversewing the Staple Line during Laparoscopic Sleeve Gastrectomy? An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials”
Published in Journal of Investigative Surgery, 2020
Staple line bleeding may occur in up to 2% of patients after LSG and is mostly attributed to inefficient sealing of small branches of the gastroepiploic and short gastric arteries by energy devices during dissection of the greater curvature of the stomach or due to technical failure of the staplers [4]. Having a rich network of blood supply, bleeding from the stomach can be quite profuse and may lead to hemodynamic instability and shock.
Gastroscopy assisted laser Doppler flowmetry and visible light spectroscopy in patients with chronic mesenteric ischemia
Published in Scandinavian Journal of Clinical and Laboratory Investigation, 2019
Simen T. Berge, Nathkai Safi, Asle W. Medhus, Kim Ånonsen, Jon O. Sundhagen, Jonny Hisdal, Syed S. H Kazmi
In the patients with CMI, the measurements of the areas supplied by the gastric arteries along the lesser curvature and the areas supplied by the gastroepiploic and short gastric arteries along the greater curvature and fundus, demonstrated a statistically significant reduction in microcirculation compared with the control group. This reduction in the microcirculation was detected by both LDF and VLS variables (Table 4).