title: Anatomical classification of the shape and topography of the operated stomach.
abstract: The aim of the study was to present the classification of anatomical variants of  the operated stomach, based on radiological and historical data. Different anatomical  variants of the operated organ were found in 431 out of 2034 patients  examined in the years 2006-2010. Four main groups were established: abnormal  position along longitudinal (I) and horizontal axis (II), as well as abnormal  shape (III) and stomach connections (IV). An additional group (V) encloses mixed  forms that combine features of two or more of the main groups. The first group  contains the partial and total translocation of the stomach into the thoracic cavity  after the partial or total oesophagectomy. Depending on the applied surgical  techniques used during the total oesophagectomy, the stomach could be located  anteriorly or posteriorly to the pericardial sac. An elongated and gastrectatic  form often with signs of pylorostenosis is visible in patients treated by vagotomy.  The consequences of fundoplication included: lack of or narrow cardiac angle,  and often a mild form of stomach cascade. The most common abnormal shape  of the stomach was secondary to gastrectomy and gastric bending. The final  organ shape depends on the type of applied surgical procedure that maintains  physiological connection with the duodenum or an un-anatomical one, mostly  with the jejunal loop. In banding, the body of the stomach forms an hourglass at  the level of the artificial adjustable band, typically applied in surgical treatment  of obesity (slim surgery).
authors.affiliation: Human Anatomy Department, Medical University of Lublin, Lublin, Poland. fb3@wp.pl
authors.forename: F
authors.initials: F
authors.lastname: Burdan
authors.forename: K
authors.initials: K
authors.lastname: Zinkiewicz
authors.forename: J
authors.initials: J
authors.lastname: Szumiło
authors.forename: I
authors.initials: I
authors.lastname: Różyło-Kalinowska
authors.forename: E
authors.initials: E
authors.lastname: Starosławska
authors.forename: W
authors.initials: W
authors.lastname: Krupski
authors.forename: W
authors.initials: W
authors.lastname: Dworzański
authors.forename: A
authors.initials: A
authors.lastname: Dąbrowski
authors.forename: G
authors.initials: G
authors.lastname: Wallner
mesh_terms: D002965:Classification; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D013270:Stomach / Q000473:pathology* / Q000601:surgery*