caa a22 4500 463199820 CHVBK 20180405153109.0 cr unu---uuuuu 170326e20070601xx s 000 0 eng 10.1007/s00276-007-0222-4 doi (NATIONALLICENCE)springer-10.1007/s00276-007-0222-4 The clinical anatomy of the posterior gastric artery revisited [Elektronische Daten] [Marios Loukas, Christopher Wartmann, Robert Louis Jr, R. Tubbs, Mel Ona, Brian Curry, Robert Jordan, Gene Colborn] A consensus concerning the incidence, course and distribution of the posterior gastric artery (PGA) has yet to be reached. Recent literature has explored and subsequently demonstrated the importance of the identification of this vessel in surgical procedures such as subtotal gastrectomy, splenectomy and pancreatic transplantation. The gross anatomy of the PGA was examined in 120 adult human cadavers. The PGA was identified as that artery which provided the predominant arterial supply to the posterior wall of the superior portion of the gastric body near the cardiac region and fundus. A PGA was identified in 81.6% of specimens. The most common origin of the PGA was from the left gastric artery (type I), occurring in 41.8% of specimens. In decreasing order of prevalence, were origins from the splenic artery (Type II), occurring in 25.5%; from both the left gastric and splenic arteries as double PGAs (Type III) in 22.4%; and from the celiac trunk (Type IV) occurring in 10.2%. The importance of accurate delineation of the PGA is crucial for pancreatic transplantation and gastric tumor removal. In addition, knowledge of variations in this vessel's origin could prove useful in transcatheter arterial embolization for the treatment of chronic bleeding from gastric ulcers. Furthermore, ligation of this vessel during partial gastrectomy, pancreaticoduodenectomy, and parietal cell vagotomy may result in gastric wall necrosis and gastric stump leak. Springer-Verlag, 2007 Gastric blood supply nationallicence Left gastric artery nationallicence Splenic artery nationallicence Partial gastrectomy nationallicence Posterior gastric ulcer nationallicence Pancreatic transplantation nationallicence Loukas Marios Department of Anatomical Sciences, St George's University, School of Medicine, Grenada, West Indies aut Wartmann Christopher Department of Anatomical Sciences, St George's University, School of Medicine, Grenada, West Indies aut Louis Jr Robert Department of Anatomical Sciences, St George's University, School of Medicine, Grenada, West Indies aut Tubbs R. Department of Cell Biology, University of Alabama at Birmingham, Birmingham, AL, USA aut Ona Mel Department of Anatomical Sciences, St George's University, School of Medicine, Grenada, West Indies aut Curry Brian Department of Anatomical Sciences, St George's University, School of Medicine, Grenada, West Indies aut Jordan Robert Department of Anatomical Sciences, St George's University, School of Medicine, Grenada, West Indies aut Colborn Gene Medical College of Georgia, Augusta, GA, USA aut Surgical and Radiologic Anatomy Springer-Verlag 29/5(2007-06-01), 361-366 0930-1038 29:5<361 2007 29 276 https://doi.org/10.1007/s00276-007-0222-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00276-007-0222-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Loukas Marios Department of Anatomical Sciences, St George's University, School of Medicine, Grenada, West Indies aut NATIONALLICENCE 700 1- Wartmann Christopher Department of Anatomical Sciences, St George's University, School of Medicine, Grenada, West Indies aut NATIONALLICENCE 700 1- Louis Jr Robert Department of Anatomical Sciences, St George's University, School of Medicine, Grenada, West Indies aut NATIONALLICENCE 700 1- Tubbs R. Department of Cell Biology, University of Alabama at Birmingham, Birmingham, AL, USA aut NATIONALLICENCE 700 1- Ona Mel Department of Anatomical Sciences, St George's University, School of Medicine, Grenada, West Indies aut NATIONALLICENCE 700 1- Curry Brian Department of Anatomical Sciences, St George's University, School of Medicine, Grenada, West Indies aut NATIONALLICENCE 700 1- Jordan Robert Department of Anatomical Sciences, St George's University, School of Medicine, Grenada, West Indies aut NATIONALLICENCE 700 1- Colborn Gene Medical College of Georgia, Augusta, GA, USA aut NATIONALLICENCE 773 0- Surgical and Radiologic Anatomy Springer-Verlag 29/5(2007-06-01), 361-366 0930-1038 29:5<361 2007 29 276 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer