Posterior gastric artery and its significance as seen in angiograms

Didio, L. J. A.; Christoforidis, Anthimos J.; Chandnani, Prem C.

doi:10.1016/0002-9610(80)90288-3

Cited by 25 publications

(22 citation statements)

References 7 publications

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“…between 50 and 65% (table I). Like DiDio et al [7] we could not find significant differences in the sex distribu tion. The course of the PGA from the splenic artery towards the posterior gastric wall corresponded to the description given by Suzuki et al [26].…”

Section: Discussionmentioning

confidence: 38%

“…The surgical importance of the PGA was pointed out by Suzuki et al [26] and DiDio et al [7] in anatomical and surgical textbooks. They reported about operative complications like focal necroses and heavy bleedings due to the surgeon's unawareness of this artery.…”

Section: Discussionmentioning

confidence: 99%

“…Suzuki et al [26] described a part of the posterior gastric body near the cardia and the posterior fundus being supplied by the PGA. DiDio et al [7] stated that the PGA supplied the superior por tion of the stomach and sometimes also the posterior wall of the abdominal esophagus, but they excluded the supply of the spleen. As already pointed out by Suzuki [26] and DiDio et al [7], an exact knowledge of the anatomy of the splenic artery and all its branches is very important for the ab dominal surgeon.…”

Section: Introductionmentioning

confidence: 99%

“…DiDio et al [7] stated that the PGA supplied the superior por tion of the stomach and sometimes also the posterior wall of the abdominal esophagus, but they excluded the supply of the spleen. As already pointed out by Suzuki [26] and DiDio et al [7], an exact knowledge of the anatomy of the splenic artery and all its branches is very important for the ab dominal surgeon. Inadvertent transections may cause operative complications like heavy bleedings or focal necroses in the corresponding organs.…”

Section: Introductionmentioning

confidence: 99%

“…The designa tions used most were 'Ramus gastricus posterior', 'Arteria gastrica posterior', or a similar name in another language. Following a suggestion of Suzuki et al [26] and DiDio et al [7], the PGA was named in the Nomina Anatomica for the first time in 1980 [13]. The incidence of the PGA differs from 4% [14] up to nearly 100% [21].…”

Section: Introductionmentioning

confidence: 99%

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Incidence, Anatomy and Territories Supplied by the Posterior Gastric Artery

Trubel¹,

Turkof²,

Rokitansky³

et al. 1985

Cells Tissues Organs

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The posterior gastric artery, a branch of the splenic artery to the posterior gastric wall, was described for the first time by Walther in 1729. It was often” recognized by many authors since, but consequently ignored by anatomical and surgical textbooks until its rediscovery and description by Suzuki et al. [Ann. Surg. 187:134–136, 1978]. The incidence of the posterior gastric artery differs between 4 and nearly 100%. All authors describe posterior gastric regions being supplied by the posterior gastric artery, but sometimes also a branch running towards the superior pole of the spleen is cited. In our study of 104 corpses we found the posterior gastric artery with an incidence of 37.5%. In one third of these cases, a branch of the posterior gastric artery to the superior pole of the spleen was also detectable. Besides these results, the course of the posterior gastric artery to the corresponding organs and the importance of this vessel for the abdominal surgeon are discussed.

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Section: Discussionmentioning

confidence: 38%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Incidence, Anatomy and Territories Supplied by the Posterior Gastric Artery

Trubel¹,

Turkof²,

Rokitansky³

et al. 1985

Cells Tissues Organs

View full text Add to dashboard Cite

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Transgastric Surgery for Posterior Juxtacardial Ulcers

2003

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Hypothesis: A transgastric approach may be used succesfully for the treatment of posterior juxtacardial ulcers presenting with massive bleeding. Methods: Eight patients were admitted during a 6-year period with acute massive upper gastrointestinal bleeding caused by posterior juxtacardial ulcers. All patients had signs of profound hypovolemic shock, and initial endoscopic control was achieved in 3 patients. They all underwent surgery after endoscopy. At operation, the ulcer was approached through an anteromedial gastrostomy and hemostasis was achieved by transfixing stitches. Ulcers were excised whenever possible, or excluded if adherent posteriorly. Four-quadrant biopsy was taken for frozen section to exclude malignancy. Both anterior and posterior gastric walls were then closed with nonabsorbable suture material. Results: There were 6 men and 2 women with a mean age of 73 years. Hemoglobin levels ranged from 5.2 to 8.0 g/dL. Five patients underwent emergency surgery within 28 hours of admission. The diameter of the ulcers ranged from 2 to 5 cm. Ulcerectomy was performed in 6 cases. In the remaining 2 patients, the crater of the ulcer was adherent to the diaphragm and required exclusion from the gastrointestinal tract. None of the ulcers proved to be malignant, and there were no operative deaths. Patients were followed up for a mean of 3 years with no complications. Conclusions: Satisfactory results can be achieved with a transgastric approach to these rare ulcers. This allows definitive treatment while avoiding major gastric resection with its potential complications.

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