Gastroduodenal artery | |
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Details | |
Source | common hepatic artery |
Branches | Retroduodenal artery, right gastroepiploic artery, superior pancreaticoduodenal artery |
Supplies | pylorus, proximal duodenum |
Identifiers | |
Latin | arteria gastroduodenalis |
TA98 | A12.2.12.016 |
TA2 | 4215 |
FMA | 14775 |
Anatomical terminology |
In anatomy, the gastroduodenal artery is a small blood vessel in the abdomen. It supplies blood directly to the pylorus (distal part of the stomach) and proximal part of the duodenum. It also indirectly supplies the pancreatic head (via the anterior and posterior superior pancreaticoduodenal arteries).
The gastroduodenal artery most commonly arises from either the left hepatic artery or the right hepatic artery instead. [1] It may also arise from the common hepatic artery of the coeliac trunk in a trifork arrangement with the two other arteries, but there are numerous variations of the origin. [1] [2] It first gives rise to the supraduodenal artery, followed by the posterior superior pancreaticoduodenal artery. It terminates in a bifurcation when it splits into the right gastroepiploic artery and the anterior superior pancreaticoduodenal artery (superior pancreaticoduodenal artery).
These branches form functional anastomoses with the anterior and posterior inferior pancreaticoduodenal arteries from the superior mesenteric artery. Note that the exact branching of vessels from the gastroduodenal artery is variable. Typically, the posterior and anterior superior pancreaticoduodenal arteries branch independently in that order, but can rarely come off a common trunk.
It supplies blood directly to the pylorus (distal part of the stomach) and proximal part of the duodenum. It also indirectly supplies the pancreatic head (via the anterior and posterior superior pancreaticoduodenal arteries).
The gastroduodenal artery can be the source of a significant gastrointestinal bleed, which may arise as a complication of peptic ulcer disease. Because of its close relationship to the posteromedial wall of the second part of the duodenum, deeply penetrating ulcers or tumours of the duodenum may cause torrential bleeding from the gastroduodenal ‘artery of haemorrhage'. [3] It occurs because the profuse arterial network in the region ensures a high flow rate in the vessel. [3]
The duodenum is the first section of the small intestine in most higher vertebrates, including mammals, reptiles, and birds. In fish, the divisions of the small intestine are not as clear, and the terms anterior intestine or proximal intestine may be used instead of duodenum. In mammals the duodenum may be the principal site for iron absorption. The duodenum precedes the jejunum and ileum and is the shortest part of the small intestine.
The portal vein or hepatic portal vein (HPV) is a blood vessel that carries blood from the gastrointestinal tract, gallbladder, pancreas and spleen to the liver. This blood contains nutrients and toxins extracted from digested contents. Approximately 75% of total liver blood flow is through the portal vein, with the remainder coming from the hepatic artery proper. The blood leaves the liver to the heart in the hepatic veins.
The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches into the anterior and posterior tibial arteries.
The abdominal aorta is the largest artery in the abdominal cavity. As part of the aorta, it is a direct continuation of the descending aorta.
A pancreaticoduodenectomy, also known as a Whipple procedure, is a major surgical operation most often performed to remove cancerous tumours from the head of the pancreas. It is also used for the treatment of pancreatic or duodenal trauma, or chronic pancreatitis. Due to the shared blood supply of organs in the proximal gastrointestinal system, surgical removal of the head of the pancreas also necessitates removal of the duodenum, proximal jejunum, gallbladder, and, occasionally, part of the stomach.
The celiacartery, also known as the celiac trunk or truncus coeliacus, is the first major branch of the abdominal aorta. It is about 1.25 cm in length. Branching from the aorta at thoracic vertebra 12 (T12) in humans, it is one of three anterior/ midline branches of the abdominal aorta.
In human anatomy, the superior mesenteric artery (SMA) arises from the anterior surface of the abdominal aorta, just inferior to the origin of the celiac trunk, and supplies blood to the intestine from the lower part of the duodenum through two-thirds of the transverse colon, as well as the pancreas.
The common hepatic artery is a short blood vessel that supplies oxygenated blood to the liver, pylorus of the stomach, duodenum, pancreas, and gallbladder.
The superior mesenteric vein is a blood vessel that drains blood from the small intestine. Behind the neck of the pancreas, the superior mesenteric vein combines with the splenic vein to form the hepatic portal vein. The superior mesenteric vein lies to the right of the similarly named artery, the superior mesenteric artery, which originates from the abdominal aorta.
The middle cerebral artery (MCA) is one of the three major paired arteries that supply blood to the cerebrum. The MCA arises from the internal carotid and continues into the lateral sulcus where it then branches and projects to many parts of the lateral cerebral cortex. It also supplies blood to the anterior temporal lobes and the insular cortices.
The hepatic artery proper is the artery that supplies the liver and gallbladder. It raises from the common hepatic artery, a branch of the celiac artery.
The cystic artery supplies oxygenated blood to the gallbladder and cystic duct.
The right gastroepiploic artery is one of the two terminal branches of the gastroduodenal artery. It runs from right to left along the greater curvature of the stomach, between the layers of the greater omentum, anastomosing with the left gastroepiploic artery, a branch of the splenic artery.
The right gastric artery arises, in most cases, from the proper hepatic artery, descends to the pyloric end of the stomach, and passes from right to left along its lesser curvature, supplying it with branches, and anastomosing with the left gastric artery. It can also arise from the region of division of the common hepatic artery, the left branch of the hepatic artery, the gastroduodenal artery, and most rarely, the common hepatic artery itself.
The superior pancreaticoduodenal artery is an artery that supplies blood to the duodenum and pancreas.
The foregut is the anterior part of the alimentary canal, from the mouth to the duodenum at the entrance of the bile duct. Beyond the stomach, the foregut is attached to the abdominal walls by mesentery. The foregut arises from the endoderm, developing from the folding primitive gut, and is developmentally distinct from the midgut and hindgut. Although the term “foregut” is typically used in reference to the anterior section of the primitive gut, components of the adult gut can also be described with this designation. Pain in the epigastric region, just below the intersection of the ribs, typically refers to structures in the adult foregut.
The greater omentum is a large apron-like fold of visceral peritoneum that hangs down from the stomach. It extends from the greater curvature of the stomach, passing in front of the small intestines and doubles back to ascend to the transverse colon before reaching to the posterior abdominal wall. The greater omentum is larger than the lesser omentum, which hangs down from the liver to the lesser curvature. The common anatomical term "epiploic" derives from "epiploon", from the Greek epipleein, meaning to float or sail on, since the greater omentum appears to float on the surface of the intestines. It is the first structure observed when the abdominal cavity is opened anteriorly.
The duodenal bulb is the portion of the duodenum closest to the stomach. It normally has a length of about 5 centimeters. The duodenal bulb begins at the pylorus and ends at the neck of the gallbladder. It is located posterior to the liver and the gallbladder and superior to the pancreatic head. The gastroduodenal artery, portal vein, and common bile duct lie just behind it. The distal part of the bulb is located retroperitoneally. It is located immediately distal to the Pyloric sphincter.
The pancreatic branches or pancreatic arteries are numerous small vessels derived from the splenic artery as it runs behind the upper border of the pancreas, supplying its body and tail.
The uncinate process is a small part of the pancreas. The uncinate process is the formed prolongation of the angle of junction of the lower and left lateral borders in the head of the pancreas. The word "uncinate" comes from the Latin "uncinatus", meaning "hooked".