[Anatomo-clinical considerations regarding the celiac-mesenteric junction].
OBJECTIVE
This work points out the access ways - both the classical ones and the ones less known and used - to the origin and the first centimeters of the superior mesenteric artery (SMA), underlining the advantages and disadvantages of each of them.


METHODS
Our work is based on dissection of 30 human bodies and 200 selective arteriographies.


RESULTS
There are two classical ways to access the first part of SMA: inter-duodeno-pancreatic and the left thoraco-abdominal ways.


CONCLUSIONS
An access way to the origin of the SMA is necessary for the revascularisation through different techniques of the visceral territory depending on the SMA, taking into account the fact that at this level we have the most frequent localization of the atheroma plaques, which leads to acute or chronic intestinal ischemia (manifest in the form of postprandial abdominal 'angor').
Păduraru
D
D
Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină, Catedra de Anatomie.
Zamfir
M
M
Stan
C I
CI
Luncă
S
S
Stoica
L
L
Motaş
O I
OI
Indrei
Anca
A
D001012:Aorta, Abdominal / Q000473:pathology; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D004210:Dissection / Q000379:methods*; D006801:Humans; D008638:Mesenteric Arteries / Q000473:pathology; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000473:pathology*; D011859:Radiography