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The anatomy of the fundic branches of the stomach: preliminary results
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Abstract
The anatomy of these fundic branches, particularly relevant to some surgical procedures, is not sufficiently described, and the current literature suffers from lack of publications on this particular topic. We therefore decided to explore in detail the arterial vascularisation of the gastric fundus.
The research was carried out on material consisting of 15 human stomach specimens. The anatomical analysis comprised the following: the number of occurrences of fundic branches in each of the source arteries defined above, the distance between the origins of the source artery and its arising fundic branch, the way in which the fundic branches arose, the length, diameter at point of origin and morphology of the fundic braches, as well as the exact point of perforation of each fundic branch on the fundus.
The highest incidence of the direct-branching pattern of fundic branches was in the left middle suprarenal artery, the gastrosplenic artery and the left gastrosplenic artery. The accessory left hepatic artery, the left gastric artery and the main trunk of the splenic artery were the most frequent site of the indirectly arising pattern of fundic branch. The highest median value of fundic branch length was 63.05 mm, found in the accessory left hepatic artery group. The largest median diameter value of the vessel was encountered among those originating in the left middle suprarenal artery and reached 2.17 mm. The posterolateral quadrant of the fundus received the largest number of fundic branches, amounting to 46.5% of all the fundic branches studied.
(Folia Morphol 2008; 67: 120–125)
Abstract
The anatomy of these fundic branches, particularly relevant to some surgical procedures, is not sufficiently described, and the current literature suffers from lack of publications on this particular topic. We therefore decided to explore in detail the arterial vascularisation of the gastric fundus.
The research was carried out on material consisting of 15 human stomach specimens. The anatomical analysis comprised the following: the number of occurrences of fundic branches in each of the source arteries defined above, the distance between the origins of the source artery and its arising fundic branch, the way in which the fundic branches arose, the length, diameter at point of origin and morphology of the fundic braches, as well as the exact point of perforation of each fundic branch on the fundus.
The highest incidence of the direct-branching pattern of fundic branches was in the left middle suprarenal artery, the gastrosplenic artery and the left gastrosplenic artery. The accessory left hepatic artery, the left gastric artery and the main trunk of the splenic artery were the most frequent site of the indirectly arising pattern of fundic branch. The highest median value of fundic branch length was 63.05 mm, found in the accessory left hepatic artery group. The largest median diameter value of the vessel was encountered among those originating in the left middle suprarenal artery and reached 2.17 mm. The posterolateral quadrant of the fundus received the largest number of fundic branches, amounting to 46.5% of all the fundic branches studied.
(Folia Morphol 2008; 67: 120–125)
Keywords
gastric fundus; arterial vascularisation; accessory left hepatic artery; posterior gastric artery; superior polar artery; gastrosplenic artery
Title
The anatomy of the fundic branches of the stomach: preliminary results
Journal
Issue
Article type
Original article
Pages
120-125
Published online
2008-03-06
Page views
574
Article views/downloads
2518
Bibliographic record
Folia Morphol 2008;67(2):120-125.
Keywords
gastric fundus
arterial vascularisation
accessory left hepatic artery
posterior gastric artery
superior polar artery
gastrosplenic artery
Authors
M. Gregorczyk
A. Dąbkowska
S. Tarka
B. Ciszek