Anatomy and Variations of the Celiac Trunk

Petrella, Selma; Rodriguez, Celio Fernando de Sousa; Sgrott, Emerson Alexandre; Fernandes, Geraldo José Medeiros; Marques, Sérgio Ricardo; Prates, José Carlos

doi:10.4067/s0717-95022007000200002

Cited by 28 publications

(45 citation statements)

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“…The two first arteries almost originate from the celiac trunk [49,[54][55][56][57], but in about 13% of cases, there are anatomical variants from its origin of these arteries [54,[56][57][58][59]. In fetus and childhood, the splenic artery is rectilinear, but then it becomes tortuous with increase of caliber with the age [51,60].…”

Section: The Pancreas and Its Dysfunctionmentioning

confidence: 99%

Therapeutic Methods Against Insulin Resistance

Rafael¹

2016

J Endocrinol Metab

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Clinical, neurosurgical and autopsy findings show that type 2 diabetes mellitus is caused by progressive ischemia in the anterior hypothalamus and endocrine pancreas due to atherosclerosis, and associated with insulin resistance. The hypothalamic ischemia provokes neuroendocrinological disorders through descending projections, and the pancreatic ischemia causes an inappropriate insulin secretion. Both ischemic structures can be improved by means of omental implantation (omental transplantation or transposition) or with anti-inflammatory drugs. Likewise, experimental and clinical observations suggest that insulin resistance is caused by inflammatory action of tumor necrosis factor alpha and resistin in the insulin receptor. Because, in contrast to this, high-dose aspirin or resveratrol can reduce hyperglycemia to normal or near normal in diabetic patients. That is, both drugs are almost specific for the treatment of insulin resistance. Finally, the use of clonazepam at night can have a beneficial effect on glucose homeostasis, because it can reduce the effects of stressful stimuli and normalize the sleep disorders or loss.

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Section: The Pancreas and Its Dysfunctionmentioning

confidence: 99%

Therapeutic Methods Against Insulin Resistance

Rafael¹

2016

J Endocrinol Metab

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“…IJBAR (2014) 05 (10) www.ssjournals.com The hepatosplenic trunk (Type II) and separate LGA from the aorta have been reported in the literature 10,[13][14][15][16]18,21,22,36,37 . The LGA commonly arises from the CT as one element of its trifurcation.…”

Section: Review Of Literature and Discussionmentioning

confidence: 99%

“…The high incidence of anatomical variations of the CT and its branching pattern was widely described in the literature as obs erved to vary from classical trifurcation [13][14][15][16][17][18][19] to abnormal trifurcation 10,14,20 . bifurcation 10,11,13-18,21-23 , quadrifurcation 6,10,13,[15][16][17]19,20,22,[24][25][26] , pentafurcation 5,9,10,13,15,20,25,[27][28][29][30][31][32] , hexafurcation 13 , heptafurcation 33 and even absence 4,8,13,14,[16][17][18] of the trunk.…”

Section: Review Of Literature and Discussionmentioning

confidence: 99%

“…bifurcation 10,11,13-18,21-23 , quadrifurcation 6,10,13,[15][16][17]19,20,22,[24][25][26] , pentafurcation 5,9,10,13,15,20,25,[27][28][29][30][31][32] , hexafurcation 13 , heptafurcation 33 and even absence 4,8,13,14,[16][17][18] of the trunk. Generally additional branches other than the normal branches are referred to as collaterals 5, 21, 27, 29, 32, 33 .…”

Section: Review Of Literature and Discussionmentioning

confidence: 99%

“…Generally additional branches other than the normal branches are referred to as collaterals 5, 21, 27, 29, 32, 33 . Reported collaterals of the CT include the inferior phrenic, aberrant right hepatic, gastroduodenal, middle colic, dorsal pancreatic, left superior suprarenal, left middle suprarenal, duodenal or ileal arteries 5,6,9,10,13,15,16,19,20,[24][25][26][27][28][29][30][31][32][33] . Presence of additional arteries may provide collateral circulation which may be important during liver transplant, laparoscopic surgeries, and radiological abdominal interventions in day to day clinical practice 29 .…”

Section: Review Of Literature and Discussionmentioning

confidence: 99%

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