Vascular anatomy of the stomach related to gastric tube construction

Mark Buunen, PPGM Rooijens, HJ Smaal, Gert-jan Kleinrensink, E (Erwin) van der Harst, Hugo Tilanus, Johan Lange

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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%).
Original languageUndefined/Unknown
Pages (from-to)272-274
Number of pages3
JournalDiseases of the Esophagus
Issue number3
Publication statusPublished - 2008

Research programs

  • EMC MM-03-47-02-A
  • EMC ONWAR-01-94-01

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