Gastroduodenal artery: single key for many locks

被引:19
作者
Desai, Gunjan S. [1 ]
Pande, Prasad M. [1 ]
机构
[1] Lilavati Hosp & Res Ctr, Dept Gastrointestinal Surg, Mumbai 400050, Maharashtra, India
关键词
Aneurysm; Celiac artery; Pancreaticoduodenectomy; CELIAC AXIS COMPRESSION; BILE-DUCT; PANCREATICODUODENAL ARTERY; LIVER-TRANSPLANTATION; ANATOMY; PANCREAS; DUODENUM; TRUNK; STUMP; COMPLICATIONS;
D O I
10.1002/jhbp.636
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Gastroduodenal artery (GDA) commonly arises from common hepatic artery, a branch of celiac axis. It holds a unique anatomical position that connects the foregut and midgut due to its intimate communications with foregut and midgut arterial supply. Its numerous anatomical variations have a significant impact on planning and performance of hepatopancreaticobiliary (HPB) surgery. Its close relation to the first part of duodenum, common bile duct and head of pancreas makes it susceptible for inadvertent bleeding during or after surgery, or due to various HPB pathologies. Also, a large number of vascular interventions rely on GDA and its branches. Careful preoperative planning is the key and a detailed knowledge and awareness of its variant anatomy is of paramount importance, be it liver resections, liver transplant, biliary and pancreatic resections and pancreatic transplant or transarterial procedures involving these arteries. GDA can also be a cause of gastrointestinal hemorrhage due to true or pseudoaneurysms and anatomy has significant implications on its management. The article provides a succinct review on relevance of GDA anatomy and variations and highlights that preoperative planning and intraoperative awareness of variations is the key to performance of safe HPB surgery and interventions.
引用
收藏
页码:281 / 291
页数:11
相关论文
共 86 条
[1]  
[Anonymous], INT J RES MED SCI
[2]  
[Anonymous], INT J ANAT VARIATION
[3]   Gastroduodenal Artery Transposition in Pancreatic Tumour Resection [J].
Balaz, Peter ;
Havluj, Lukas .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2017, 54 (05) :644-644
[4]  
Bergman RA, 1995, Illustrated Encyclopedia of Human Anatomic Variation
[5]   The role of revascularization in celiac occlusion and pancreatoduodenectomy [J].
Berney, T ;
Pretre, R ;
Chassot, G ;
Morel, P .
AMERICAN JOURNAL OF SURGERY, 1998, 176 (04) :352-356
[6]   The arterial blood supply of the pancreas: A review .3. The inferior pancreaticoduodenal artery - An anatomical review and a radiological study [J].
Bertelli, E ;
DiGregorio, F ;
Bertelli, L ;
Civeli, L ;
Mosca, S .
SURGICAL AND RADIOLOGIC ANATOMY, 1996, 18 (02) :67-74
[7]   The arterial blood supply of the pancreas: A review .2. The posterior superior pancreaticoduodenal artery. An anatomical and radiological study [J].
Bertelli, E ;
DiGregorio, F ;
Bertelli, L ;
Civeli, L ;
Mosca, S .
SURGICAL AND RADIOLOGIC ANATOMY, 1996, 18 (01) :1-9
[8]   THE ARTERIAL BLOOD-SUPPLY OF THE PANCREAS - A REVIEW .1. THE SUPERIOR PANCREATICODUODENAL AND THE ANTERIOR SUPERIOR PANCREATICODUODENAL ARTERIES - AN ANATOMICAL AND RADIOLOGICAL STUDY [J].
BERTELLI, E ;
DIGREGORIO, F ;
BERTELLI, L ;
MOSCA, S .
SURGICAL AND RADIOLOGIC ANATOMY, 1995, 17 (02) :97-106
[9]   TOPOGRAPHICAL RELATIONSHIPS OF THE 1ST PART OF THE DUODENUM, GASTRODUODENAL ARTERY AND BILE-DUCT - THE RESULTS OF 36 DISSECTIONS [J].
BONNEL, F ;
PUJOL, J ;
BARTHELEMY, M ;
CARABALONA, P ;
RABISCHONG, P .
ANATOMIA CLINICA, 1982, 4 (04) :289-294
[10]  
Bradley R L, 1973, Int Surg, V58, P393