In view of constructing a gastric tube after esophagus resection, the vascular anatomy of the greater curvature of the stomach, especially the connection between the left and right gastro-epiploic arteries, was investigated. The vascular anatomy was studied in 20 embalmed human specimens. After dissection a gastric tube of 4 cm wide was constructed, using the greater gastric curvature. Various lengths of the arterial arcades were measured. In 70% an anastomosis between the right and left gastro-epiploic arteries was present. With the construction of an isoperistaltic gastric tube, in which the left gastro-epiploic artery is left in situ (ligating it at the splenic hilus), there is an 18.7% increase of length of arterial arcade along the gastric tube. Leaving the left gastro-epiploic artery in situ increases the feeding arterial arcaded-length along the gastric tube with 5.0 cm (19%). © 2007 The Authors Journal compilation

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Diseases of the Esophagus
Erasmus MC: University Medical Center Rotterdam

Buunen, M, Rooijens, P.P.G.M, Smaal, H.J, Kleinrensink, G.J, van der Harst, E, Tilanus, H.W, & Lange, J.F. (2008). Vascular anatomy of the stomach related to gastric tube construction. Diseases of the Esophagus, 21(3), 272–274. doi:10.1111/j.1442-2050.2007.00771.x