27,32,33) Furthermore, because most of the patients had reached adulthood by the time the second intervention was required, reoperation utilizing either the radial artery, the gastroepiploic
artery, or both, and percutaneous coronary intervention using coronary stents could be applied more safely and effectively than in children.
The splenic blood flow is preserved through the short gastric vessels and gastroepiploic
Stomach mobilization with minimum trauma, careful preservation of right gastroepiploic
arcade9, kocherization of proximal duodenum, creating ample mediastinal tunnel9, dividing proximal esophagus at sternal notch level and dividing esophageal mucosa about 2 cm distal to the division of esophageal muscles were the key factors to obtain a tension free anastomosis.
sup] Since short gastric veins (SGVs) at the greater curvature of the gastric fundus are confluent with the splenic, gastroepiploic
, and coronary veins (CORs), stenosis or occlusion of the splenic vein results in segmental portal hypertension.
also studied the effects of skeletonized gastroepiploic
The greater omentum is supplied by an arcade of collateral arteries branching off of the left and right gastroepiploic
For stomach related procedures (subtotal / total gasterctomy), stomach was mobilized by incising gastrosplenic omentum and left gastroepiploic
vessels were identified.
Distal gastric was resected following the connection between the right of the first descending branch of left gastric artery and the left of the first vertical branch of big gastroepiploic
1983), while observing by arteriography the anatomy of the abdominal viscera and the lombar region in caprines, carnivores, swine and rabbits, report that the cranial mesenteric artery, in these species, is originated from the following branches: middle colic artery, the most developed branch, which anastomoses with the left gastroepiploic
artery; ileocolic artery, where, in goats and rabbits, it is the first released branch; cranial duodenal pancreatic artery; and several jejunal arteries anastomose themselves, originating arches.
Greater curvature of stomach: greater curvature, greater omental, gastroduodenal, gastroepiploic
, pyloric, and pancreaticoduodenal
Late angiographic result of using the right gastroepiploic
artery as a graft.
In order of frequency of use, graft arteries include the internal mammary arteries (IMAs), radial arteries (RAs), right gastroepiploic
artery, and inferior epigastric artery.