Vascular anatomy of the stomach related to gastric tube construction.
In view of constructing a gastric tube after esophagus resection, the vascular anatomy of the greater curvature of the stomach, especially the connection between the left and right gastro-epiploic arteries, was investigated. The vascular anatomy was studied in 20 embalmed human specimens. After dissection a gastric tube of 4 cm wide was constructed, using the greater gastric curvature. Various lengths of the arterial arcades were measured. In 70% an anastomosis between the right and left gastro-epiploic arteries was present. With the construction of an isoperistaltic gastric tube, in which the left gastro-epiploic artery is left in situ (ligating it at the splenic hilus), there is an 18.7% increase of length of arterial arcade along the gastric tube. Leaving the left gastro-epiploic artery in situ increases the feeding arterial arcaded-length along the gastric tube with 5.0 cm (19%).
Buunen
M
M
Department of Surgery, Erasmus Medical Center, Rotterdam, The Netherlands. m.buunen@erasmusmc.nl
Rooijens
P P G M
PP
Smaal
H J
HJ
Kleinrensink
G J
GJ
van der Harst
E
E
Tilanus
H W
HW
Lange
J F
JF
D000368:Aged; D000369:Aged, 80 and over; D002102:Cadaver; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D024405:Gastroepiploic Artery / Q000033:anatomy & histology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013270:Stomach / Q000098:blood supply* / Q000601:surgery*