Left gastric artery

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Left gastric artery
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The left gastric artery and other branches of the celiac artery (stomach in situ ). Left gastric artery identified near lesser curvature.
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Left gastric artery is at #2 -- the upper of the two arrows.
Details
Source Celiac artery
Identifiers
Latin arteria gastrica sinistra
TA98 A12.2.12.013
TA2 4212
FMA 14768
Anatomical terminology

In human anatomy, the left gastric artery arises from the celiac artery and runs along [1] the superior portion of[ citation needed ] the lesser curvature of the stomach before anastomosing with the right gastric artery (which runs right to left[ citation needed ]). It also issues esophageal branches [1] that supply lower esophagus and ascend through the esophageal hiatus to form anastomoses with the esophageal branches of thoracic part of aorta.[ citation needed ]

Contents

Anatomy

Origin

The LGA usually arises from (the superior aspect of) the coeliac trunk - sometimes as a terminal branch of a trifurcation, and more rarely as a side branch of the splenic artery or of common hepatic artery. Sometimes it originates directly from aorta or from arteria phrenica inferior. [2]

Course

From the crus of diaphragm, the LGA arches obliquely anterior-ward and to the left to reach the left curvature of the stomach just inferior to the gastric cardia (thus erecting the gastropancreatic (peritoneal) fold). [2]

Fate

Upon reaching the cardia, the LGA splits into two terminal branches - a ventral one and a dorsal one - which anastomose with corresponding terminal branches of the right gastric artery, together providing arterial supply to the lesser curvature of the stomach. [2]

Branches

Besides its terminal ventral branch and dorsal branch, the LGA yields multiple side branches: the left lateral hepatic artery, posterior esophageal artery, anterior esophagocardiotuberous artery, branches to lymph nodes, and omental branches. [2]

Clinical significance

In terms of disease, the left gastric artery may be involved in peptic ulcer disease: if an ulcer erodes through the stomach mucosa into a branch of the artery, this can cause massive blood loss into the stomach, which may result in such symptoms as hematemesis or melaena.

Additional images

Related Research Articles

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The stomach is a muscular, hollow organ in the upper gastrointestinal tract of humans and many other animals, including several invertebrates. The stomach has a dilated structure and functions as a vital organ in the digestive system. The stomach is involved in the gastric phase of digestion, following the cephalic phase in which the sight and smell of food and the act of chewing are stimuli. In the stomach a chemical breakdown of food takes place by means of secreted digestive enzymes and gastric acid.

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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.

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<span class="mw-page-title-main">Lesser omentum</span> Double layer of peritoneum in the abdomen

The lesser omentum is the double layer of peritoneum that extends from the liver to the lesser curvature of the stomach, and to the first part of the duodenum. The lesser omentum is usually divided into these two connecting parts: the hepatogastric ligament, and the hepatoduodenal ligament.

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<span class="mw-page-title-main">Inferior phrenic arteries</span>

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<span class="mw-page-title-main">Left gastroepiploic artery</span>

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<span class="mw-page-title-main">Superior pancreaticoduodenal artery</span> Artery

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<span class="mw-page-title-main">Foregut</span> Anterior part of the gastrointestinal tract

The foregut in humans is the anterior part of the alimentary canal, from the distal esophagus to the first half of 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.

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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.

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The intercostal arteries are a group of arteries passing within an intercostal space. There are 9 anterior and 11 posterior intercostal arteries on each side of the body. The anterior intercostal arteries are branches of the internal thoracic artery and its terminal branch - the musculophrenic artery. The posterior intercostal arteries are branches of the supreme intercostal artery and thoracic aorta.

<span class="mw-page-title-main">Anterior vagal trunk</span>

The anterior vagal trunk is one of the two divisions into which the vagus nerve splits as it passes through the esophageal hiatus to enter the abdominal cavity. The anterior and posterior vagal trunks represent the inferior continuation of the esophageal nervous plexus inferior to the diaphragm. The majority of nerve fibres in the anterior vagal trunk are derived from the left vagus nerve.

<span class="mw-page-title-main">Curvatures of the stomach</span> Anatomy of the human stomach

The curvatures of the stomach are the long, convex, lateral surface, and the shorter, concave, medial surface of the stomach, which are referred to as the greater and lesser curvatures, respectively. The greater curvature, which begins at the cardiac notch, and arches backwards, passing inferiorly to the left, is four or five times longer than the lesser curvature, which attaches to the hepatogastric ligament and is supplied by the left gastric artery and right gastric branch of the hepatic artery.

References

  1. 1 2 Lung, Kirsten; Lui, Forshing (2022), "Anatomy, Abdomen and Pelvis, Arteries", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID   30247834 , retrieved 2023-01-14
  2. 1 2 3 4 "Artère gastrique gauche - Dictionnaire médical de l'Académie de Médecine". www.academie-medecine.fr. Retrieved 2024-05-09.
  3. Essential Clinical Anatomy. K.L. Moore & A.M. Agur. Lippincott, 2 ed. 2002. Page 150