Relevance of Posterior Gastric Vessel in Bariatric Surgery

Gupta, Prakhar; Misra, Shivanshu; Kumar, Saravana; Raj, Praveen

doi:10.1007/s11695-020-04949-8

Cited by 3 publications

(4 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In almost all studies the posterior gastric artery was defined as arising from the splenic artery or the superior polar splenic artery. Other origins were very rare and included the two cases of the coeliac trunk (Okabayashi et al, 2006; Okabayashi, Kobayashi, Morishita, et al, 2005), sixteen cases of the left inferior phrenic artery (Tang et al, 2010) and nineteen cases of the left gastric artery (Gupta et al, 2020). Loukas et al used a different definition to the other studies.…”

Section: Discussionmentioning

confidence: 99%

“…Gupta et al reported on the importance of recognition of the PGA during bariatric surgery. They reported that it is necessary to divide the PGA in patients undergoing laparoscopic sleeve gastrectomy to mobilize the fundus and in patients undergoing and laparoscopic Roux‐en‐Y gastric bypass it is necessary to dissect or divide the PGA to facilitate firing of the longitudinal stapler (Gupta et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The posterior gastric artery: A meta‐analysis and systematic review

et al. 2023

View full text Add to dashboard Cite

The aim of this study was to review the literature on the posterior gastric artery, estimate its prevalence and summarize its reported origins. The databases Pubmed, Scopus, Web of Science and Google Scholar were searched to find all studies describing the prevalence and origin of the posterior gastric artery. Pooled prevalences were estimated using a random effects model. Thirty‐eight studies with a total of 3366 subjects were included in the analysis. The overall prevalence of the posterior gastric artery was 57.4% (95% CI = 49.1%–65.7%). The prevalence of the posterior gastric artery was significantly higher in surgical studies than in cadaveric and angiographic studies. There were no differences in prevalence between multi‐detector computed tomography studies and cadaveric studies, nor were there differences when comparing geographical location or study size. Origin data were extracted from 34 studies, with a total of 1533 cases. The posterior gastric artery arose as a single vessel from the splenic artery in 1160 cases (pooled prevalence 86.5% [95% CI = 78.5%–94.7%]), from the superior polar splenic artery in 339 cases (pooled prevalence 11.8% [95% CI = 3.7%–19.9%]) and from other origins in 50 cases (pooled prevalence 0.27% [95% CI = 0.00–0.71%]). The posterior gastric artery is present in 57.4% of cases and most commonly arises from the splenic artery. It should be identified before gastric resections as it may be an important source of blood to the gastric stump. Multi‐detector computed tomography has sufficient sensitivity to detect it before surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The posterior gastric artery: A meta‐analysis and systematic review

et al. 2023

View full text Add to dashboard Cite

show abstract

“…First of all, we would like to congratulate the authors on a well-written brief communication describing the anatomy of the posterior gastric artery (PGA) and its relevance in bariatric surgery [1]. Though this artery was first identified more than two centuries ago [2], it has not been described universally in the literature, and incidence varies from as low as 4% to as high as 99%.…”

mentioning

confidence: 99%

“…In the RYGB group, PGA was noted in 91.9% (34/37) patients. Out of 34 times, the vessel was divided only thrice while the procedure was performed 31 times after retracting the vessel laterally [1].…”

mentioning

confidence: 99%

Comment on: Relevance of Posterior Gastric Vessel in Bariatric Surgery

et al. 2021

View full text Add to dashboard Cite

ICG-angiography in evaluation the quality of the full-thickness rectal flap's formation at the surgery treatment of complex rectal fistulas

Khitaryan,

Adizov,

Alibekov

et al. 2024

Koloproktologiâ

View full text Add to dashboard Cite

AIM: evaluation the feasibility of usage ICG-angiography for the full-thickness rectal flap's formation at the surgery treatment of complex rectal fistulas.PATIENTS AND METHODS: a prospective cohort study based on the study of intraoperative ICG-angiography and its video recordings in the surgery treatment of complex pararectal fistulas with bringing down a full-thickness rectal flap was performed. The study included 9 patients: 6(66.7%) - men and 3(33.3%) - women.RESULTS: based on intraoperative ICG-angiography 3 types rectum's angioarchitectonics were identified: with 3, 4 and 5 distal branches of the rectal arteries, respectively. Subsequent detailed chronometry were showed that the time of onset of the arterial phase did not differ significantly, regardless of the formed flap's width. However, the following changes in the venous outflow were identified: at full-thickness flap's width of 1/3 of the rectal circumference, a slight lengthening of the venous outflow was observed, expressed in an increase of the average time for onset of the maximum fluorescence phase to 61.5 sec., compared with the intact rectum (58.2 sec.); at full-thickness flap's width of 1/4 of the rectal circumference - significant (p<0.05) extension of the average time for onset of the phase of maximum fluorescence to 77.6 sec., that is, in 1.26 times compared to patients with flap's width of 1/3 of the rectal circumference.CONCLUSION: at the treatment of complex rectal fistulas with bringing down a full-thickness rectal flap, ICG-angiography makes it possible to visualize the vessels of the rectum at intraoperative condition, which contributes to the selection of the boundaries of the rectal area for the formation of a full-thickness flap, and also allows to assess of its blood supply.

show abstract

Relevance of Posterior Gastric Vessel in Bariatric Surgery

Cited by 3 publications

References 7 publications

The posterior gastric artery: A meta‐analysis and systematic review

The posterior gastric artery: A meta‐analysis and systematic review

Comment on: Relevance of Posterior Gastric Vessel in Bariatric Surgery

ICG-angiography in evaluation the quality of the full-thickness rectal flap's formation at the surgery treatment of complex rectal fistulas

Contact Info

Product

Resources

About