The main sources of blood supply to the duodenum and head of the pancreas are the branches of the common hepatic and superior mesenteric arteries. They receive nutrition from the two superior and two inferior pancreatic-duodenal arteries. The superior pancreatoduodenal arteries (anterior and posterior) (aa. pancreatoduodenalis superior and inferior) are branches of the gastroduodenal artery (a. gastroduodenalis), and the lower ones (also anterior and posterior) are branches of the superior mesenteric artery. The superior and inferior pancreaticoduodenal arteries anastomose with each other and form the anterior and posterior arterial arches, which in turn form a continuous arterial ring.
Pancreatic arteries
The location of the arterial arches may be different. They can run parallel to each other or intersect. Topographically, the posterior arch is located on the head of the pancreas medial to the anterior one. In the area of the upper horizontal branch of the duodenum, the anterior arterial arch is 2-8 mm from the edge of the intestine. Below it is projected onto the intestinal wall, and in other parts it lies in the pancreatic-duodenal groove. The posterior arterial arch is rarely located in the pancreatic-duodenal groove. The pancreatic-duodenal arteries are often intimately connected with the pancreatic parenchyma.
There is a scattered form of arterial arches, when there are many arteries forming arches, and a main form, when an arterial arch is formed after the fusion of two arteries. In people over 50 years of age, who are most often operated on for pancreatic cancer, extraorgan vessels of the duodenum are usually tortuous, sclerotic and difficult to distinguish from the tissues.
Gastroduodenal artery
The gastroduodenal artery in most cases arises from the common hepatic artery. Its length ranges from 20 to 40 mm, diameter - from 2.5 to 5 mm, the direction of travel and the distance of the artery from the pylorus are extremely variable. More often, the artery is located immediately behind the pylorus, perpendicular to the longitudinal axis of the initial part of the duodenum. The gastroduodenal artery most often crosses the initial section of the intestine obliquely from right to left, from top to bottom, from behind and forward.
There have been cases where the gastroduodenal artery, immediately after leaving the common hepatic artery, divides into the anterior and posterior superior pancreatic duodenal arteries. These anatomical variants are quite easy to recognize during surgery and do not pose any great danger.
Abnormal drainage of blood vessels
Of significant interest to surgeons are rare cases of abnormal discharge of vessels in this area, in which there is an extremely high risk of damage. Cases of the right hepatic artery branching off from the gastroduodenal artery have been described, which is fraught with the intersection of a. hepatica dextra when performing pancreaticoduodenectomy. In this regard, there are reports in the literature about the experience of autovenous bypass of the right hepatic artery before crossing the gastroduodenal artery.
Other authors have observed cases of division of the common hepatic artery into four trunks at once: the right and left hepatic arteries, the gastroduodenal and right gastric arteries. In such situations, damage to one of the lobar hepatic arteries is possible. Of particular danger are abnormal cases when the proper hepatic artery is a branch not of the celiac trunk, as usual, but of the superior mesenteric artery.
The blood supply to the major duodenal papilla and the distal part of the common bile duct is carried out by several small-diameter arteries, which are branches of the anterior or posterior pancreaticoduodenal artery.
The body and tail of the pancreas are supplied with blood mainly by the splenic artery, which gives multiple branches (from 3 to 9) along the main trunk. The splenic artery in most cases lies in a groove along the posterosuperior surface of the body and tail of the pancreas above the splenic vein and, thanks to the many branches extending from it, is tightly fixed to the pancreatic tissue. The splenic artery can have a straight, tortuous or spiral shape. In people over 35 years of age, the artery usually has a tortuous shape.
Outflow of blood from the pancreas
The outflow of blood from the organs of the pancreaticoduodenal region occurs through multiple branches into the portal vein system.
From the duodenum, head of the pancreas and uncinate process, blood collects in venous vessels running parallel to the pancreatic-duodenal arteries. The most pronounced are the inferior pancreatic-duodenal veins, which, forming a single arcade, flow into the superior mesenteric vein with one, rarely two trunks at the lower edge of the isthmus and head of the pancreas. Almost constantly, from 2 to 7 branches of small diameter, collecting blood from the uncinate process and the dorsal parts of the head of the gland, flow independently into the superior mesenteric and portal veins. Additionally, from the lower parts of the head of the gland, as well as the duodenum, blood flows into the right gastroepiploic vein.
From the body and tail of the pancreas, blood flows into the pancreatic branches of the splenic vein, as well as into the large inferior vein of the body and tail of the organ. Big inferior vein located parallel to the inferior pancreatic artery at the lower edge of the gland and most often flows into the superior or inferior mesenteric vein. Occasionally, this vein may be a tributary of the splenic or even the left gastroepiploic vein.
N.B. Putov and others.
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CELIC ARTERY AND ITS VARIABILITY IN SHEEP ABSTRACT DIS. ... CANDIDATE OF BIOLOGICAL SCIENCES
STAVROPOL AGRICULTURAL INSTITUTE
The anatomy of the celiac artery in sheep in existing anatomical veterinary manuals is described by analogy with cattle. Such a statement, as our research has shown, is not true, since the anatomy of the celiac artery in sheep has its own specific features.
Right gastroepiploic and cranial pancreas duodenum arteries.<...>Zhsludochno- duodenum the artery in all cases of our studies was a branch of the hepatic artery<...>, cranial pancreas duodenum And great artery pancreas.<...>nal branch departing from the gastrointestinal tract duodenum arteries. 7.<...>and 1-2 branches of the cranial pancreas duodenum arteries.
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Target. To study the possibility of using regional intravascular therapy in patients with pancreatic necrosis with drugs that “unblock” microcirculation in pancreatic necrosis. Material and methods. 106 patients with pancreatic necrosis were examined. Group 1 included 71 patients: 20 (28%) had sterile pancreatic necrosis, 51 (72%) had infected pancreatic necrosis. The 2nd group was represented by 23 patients who, in order to improve blood circulation in the pancreas and open the microcirculatory bed in complex treatment Long-term arterial infusion (CAI) of antiplatelet agents and antibiotics into the celiac trunk was used. Sterile pancreatic necrosis was detected in 9 (39%), infected – in 14 (61%) patients. The 3rd group included 12 patients with pancreatic necrosis, who at an earlier stage received MDI using the drug alprostadil in combination with antibiotics. Of these, 9 (75%) patients had sterile pancreatic necrosis, and 3 (25%) had infected pancreatic necrosis. MDI was performed selectively in the pancreatic artery. Results. In group 1, 47 (67%) patients underwent surgery. The duration of treatment was 35.8 ± 2.3 days, mortality was 16.9%. In group 2, 10 (43%) patients underwent surgery; the duration of treatment was 24.8 ± 3.6 days. There were no deaths. In the 3rd group open operations only 2 (16.7%) patients needed it. The duration of hospitalization was 23.6 ± 2.1 days. There were no deaths. Conclusion. The use of regional administration of alprostadil leads to improved blood circulation in the pancreatic parenchyma with stimulation of delimitation processes in the form of the formation of early fluid accumulations with a decrease in infiltration of retroperitoneal tissue and its infection.
duodenum artery (Fig. 2), in 1 – common hepatic artery, in 8 – the mouth of the celiac trunk.<...>duodenum artery 1 – gastro! duodenum arte!<...>duodenum arteries before MDI; 1 – gastro!<...>duodenum artery; 2 – depletion of the vascular pattern in the naked area!<...>duodenum arteries; 3 – the appearance of spleen!
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A variant of mobilization of the pancreaticoduodenal complex during pancreaticoduodenal resection, which refers to “no-touch” isolation, is presented. An analysis of mobilization options that have appeared in the literature related to early discharge and the intersection of the arteries supplying the proximal pancreas. Analysis of the literature shows the promise of “no-touch” isolation for increasing the radicality of the operation
Intersection of the upper and lower pancreas duodenum arteries 4.<...>We consider it necessary to be the first to cross the gastrointestinal duodenum artery as the main artery feeding<...>artery and duodenum intestine 2 cm below the pylorus.<...>pancreas� duodenum arteries.<...>upper pancreas duodenum arteries.
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Purpose: to evaluate the value of low-dose CT with bolus contrast enhancement (CT angiography) in planning transarterial chemoembolization for malignant neoplasms of the liver and pancreas Material and methods. In the period from 2011 to 2013 at the Federal State Budgetary Institution “Institute of Surgery named after. A.V. Vishnevsky” of the Ministry of Health of the Russian Federation, chemoembolization was performed in 33 patients. A total of 48 interventions were performed. In 30 (90.9%) patients, 45 (93.75%) operations were performed for liver tumors. In 3 (9.1%) patients with pancreatic cancer after cryodestruction, 3 (6.25%) operations were performed using the method of the Central Research Radiological Institute. The intervention was performed once in 21 (63.6%) patients, repeatedly in 10 (30.4%), 3 times in 1 (3.0%), 4 times in 1 (3.0%). Before chemoembolization, all patients underwent CT angiography using low-dose scanning protocols and interactive reconstruction algorithms. Results. In all cases, chemoembolization was completed in full, and a good angiographic result was achieved. CT angiography allows you to reliably display collateral circulation in the basin of the superior mesenteric artery and the celiac trunk, their occlusive-stenotic lesions, calculate the angle of departure of the celiac trunk from the aorta. A variant of the anatomy of the celiac-mesenteric area, considered normal according to the N. Michels classification, was found in 16 (48.5%) patients. “Standard” chemoembolization due to anatomical features and concomitant occlusive-stenotic lesions of the celiac arteries was performed only in 16 (33.3%) cases. Conclusion. The use of low-dose CT angiography makes it possible to examine all arteries of the celiac-mesenteric area with minimal radiation exposure to the patient. The resulting images make it possible to accurately represent the features and select the optimal surgical option, thereby reducing the time of surgical intervention and reducing the radiation load on medical personnel.
However, early origin of the left hepatic artery to (or opposite) the gastric duodenum <...>arteries gastrointestinal duodenum <...>There is a possibility of non-target embolization of the gastrointestinal region duodenum arteries.<...> � duodenum arteries (Fig. 3, 4).<...>, IDA – gastrointestinal duodenum artery, SPA – proper hepatic artery, PPA and LPA – right
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Hepatic artery aneurysms account for about 20% of all azygos vessel aneurysms abdominal cavity. The leading positions in diagnostics belong to invasive celiacography and spiral computed tomography. For small aneurysms, as well as for intrahepatic localization, endovascular treatment is indicated. For aneurysms of the native hepatic artery, as well as large aneurysms, surgical treatment is indicated
Through the gastrocolic ligament, as well as elements of the hepatic duodenum the ligaments are opened<...>from the level of gastrointestinal outlet duodenum arteries to the bifurcation of the RAA and LPA.<...>Aneurysm of the proper hepatic artery (white arrow) in the elements of the hepatic artery duodenum <...>arteries<...>If the aneurysmal sac is located distal to the gastrointestinal tract duodenum arteries, as well as
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No. 2 [Annals of Surgical Hepatology, 2017]
In 7 (33.3%) – gastrointestinal duodenum arteries, in 3 (14.3%) – gastrointestinal duodenum arcs<...>arteries – in 10, superior mesenteric artery – in 4, pancreatic duodenum arteries – in 2.<...>upper pancreas duodenum artery, in 2 – jejunal artery, according to one observation –<...>The source of bleeding was the gastrointestinal stump duodenum arteries (n = 1), splenic artery<...>and lower pancreas duodenum artery: stenting of the common hepatic artery is performed in
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No. 3 [Annals of Surgical Hepatology, 2014]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board Special attention pays attention to the unification of the presentation of the material and the applied methods of statistical data processing, which is one of necessary conditions modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
arteries gastrointestinal duodenum the artery originated from the left hepatic artery.<...> � duodenum arteries (Fig. 3, 4).<...>duodenum artery 1 – gastro! duodenum arte!<...>duodenum arteries; 3 – the appearance of spleen!<...>pancreas� duodenum arteries.
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INTRAORGAN ARTERIAL VASCULARIZATION OF THE LIVER OF AGRICULTURAL AND SOME WILD ANIMALS ABSTRACT OF DIS. ... CANDIDATE OF BIOLOGICAL SCIENCES
M.: MOSCOW VETERINARY ACADEMY
We set ourselves the task of studying the main and additional routes of arterial blood supply to the liver.
into the common trunk of the gastrointestinal tract duodenum and right gastric arteries.<...>gastro- duodenum arteries.<...>Then the vessel continues further as the gastrointestinal duodenum artery<...>in the gastrointestinal tract duodenum, in the form of a bundle of arterial branches.<...>Then they depart from it: gastrointestinal duodenum.and right gastric artery. . "After this, the ongoing
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Surgery of the abdominal organs. T.I Topographic anatomy of the anterior abdominal wall and abdominal organs.
The manual presents patterns and basic information on topographic anatomy And surgical interventions on the anterior abdominal wall and abdominal organs, provided for by the program for mastering by students of the Federal State educational standard in the specialty of General Medicine and Pediatrics, taking into account the relevant competencies. In preparing the presented textbook, the many years of experience of its compilers in teaching the relevant section were used. curricula for students of the above specialties. For the second edition, the manual has been revised and supplemented with modern technologies used in surgery. Designed for students medical universities, studying in specialty programs in General Medicine and Pediatrics.
splenic artery; 9 splenic vein; 10 splenic artery; 11 top duodenum- pancreas<...>artery; 12 gastro- duodenum artery; 13 portal vein; 14 right gastric artery;<...> duodenum artery is considered one of the terminal arteries of a. gastroduodenalis<...>hepatic and gastrointestinal duodenum arteries.<...>Superior anterior pancreas duodenum duodenum arteries
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Purpose of the study: to develop an accessible and effective X-ray endovascular method for diagnosing and treating patients with acute severe pancreatitis, available for widespread use in surgical hospitals. Material and methods. The experimental part of the study was carried out on 11 non-fixed organ complexes of the organs of the upper floor of the abdominal cavity. The clinical part of the study used the results of examination and treatment of 93 patients with acute pancreatitis.
duodenum <...>Catheterization of the mouth of the splenic artery was performed at 3 organ complexes.<...>pancreas head body tail Celiac trunk (n = 5) 19.6 ± 1.6 18.6 ± 2.07 15.2 ± 2.2 * Gastrointestinal duodenum <...>artery (n = 4) 24.0 ± 2.2 13.7 ± 1.2 * 2.0 ± 0.8 * Splenic artery (n = 3) 1.3 ± 0.5 * 6.3 ± 0, 5<...> duodenum
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A clinical observation of long-term survival of a patient with pancreatic carcinoma (PC) after radical surgery complicated by total pancreatic necrosis is presented. In the postoperative period, prolonged treatment of the patient in the intensive care unit and a number of emergency procedures were required. surgical interventions, including pancreatectomy. The patient was discharged on the 99th day after radical surgery. Currently, the duration of observation of the patient is 8 years, there are no signs of relapse of the malignant disease. Clinical observation convincingly shows the effectiveness of radical operations for patients with pancreatic cancer, as well as the need for timely pancreatectomy in severe postoperative pancreatic necrosis
Pancreatic neoplasm: a – arterial phase before chemoembolization of the gastrointestinal tract duodenum <...>arteries (arrow); b – arterial phase after gastrointestinal chemoembolization duodenum arteries
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No. 1 [Bulletin of Surgery named after I.I. Grekov, 2010]
They came from the splenic artery in 15 (57.7%) cases, gastrointestinal duodenum artery or its<...>LA of the head of the pancreas, coming from the gastrointestinal tract duodenum arteries.<...>and pancreas duodenum arteries<...>gastro- duodenum and pancreas duodenum arteries.<...>LA gastro- duodenum arteries (black arrow). Rice. 9.
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Purpose of the study: to improve the results of treatment of patients with pancreatic diseases Material and methods. From 2010 to 2014, 59 robot-assisted operations on the pancreas were performed: 30 distal resections, 12 pancreaticoduodenectomies, including one pancreaticoduodenectomy, 5 midline resections, 12 tumor enucleations. There were 48 women (81.4%), 11 men (19.6%). Average age of patients was 48.4 ± 14.5 years. Results. The duration of pancreatoduodenal resections was 463.1 ± 111.1 min, distal resections – 218.0 ± 68.2 min, midline resections – 253.0 ± 37.7 min, tumor enucleations – 150.0 ± 49.0 min. Postoperative complications developed in 24 (40.7%) patients: external pancreatic fistula in 19, gastrostasis in 3, bleeding in 2. There was 1 death after pancreaticoduodenectomy. Conclusion. Indications for robot-assisted operations on the pancreas are malignant tumors T1–T2, neuroendocrine tumors, benign tumors no larger than 5–6 cm in size. The use of a robotic complex does not avoid specific postoperative complications characteristic of operations on the pancreas.
duodenum artery<...>Upper pancreas duodenum the vein was clipped and transected.<...> <...> duodenum <...>The first stage involved mobilization of the pancreatic head and duodenum intestines.
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Surgical treatment of pancreatic calculosis remains one of the unresolved issues of pancreatology, since there is no consensus on the method and nature of surgical intervention. The article highlights the relevance of this problem and provides an overview of methods surgical treatment pancreatic calculosis
In addition, resection of the head of the pancreas with preservation duodenum intestines (operations by Beger, Ligidakis<...>S – stomach, D – duodenum intestine, P – pancreas, J – jejunum, F – end of the small intestine, opened<...>They introduced into practice a modification of pancreatic head resection with preservation duodenum intestines<...>parenchyma; d – completion of virsungolithotomy – primary suture of the pancreas is applied. 1 – superior anterior pancreas duodenum <...>duodenum artery, 3 – dissected parenchyma of the head
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Endoscopic ultrasonography for diseases of the pancreas
Medicine Far East
The textbook is devoted to endoscopic ultrasonography in the diagnosis of pancreatic diseases. The textbook is compiled according to training programs for highly qualified personnel - residency programs in the specialty of Endoscopy.
arteries arising from the gastrointestinal tract duodenum artery, which is a branch of the common hepatic artery<...>, also the anterior and posterior branches of the inferior pancreas duodenum artery, considered a branch of the superior<...>Branches of the common hepatic and gastrointestinal duodenum arteries, as well as the right gastroepiploic artery<...>artery, 4 – portal vein, 5 – common bile duct, 6 – pancreatic duct, 7 – duodenum intestine.<...>artery 5.
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Operative and clinical surgery of the abdominal organs
Far Eastern Federal University Publishing House
The manual presents in an accessible form basic information on topographic anatomy and surgical interventions in the abdominal cavity. The textbook on the discipline “Operative and Clinical Surgery” is compiled in accordance with the requirements of the Federal State Educational Standard and is intended for students in higher education programs - specialty programs, in the specialties “General Medicine”, “Pediatrics”.
Pancreas artery; 12 – gastro- duodenum artery; 13 – portal vein; 14 – right gastric<...>upper and two lower pancreas duodenum arteries.<...>Within the ligament, the hepatic artery usually gives off the gastrointestinal duodenum artery (a. gastroduodenalis<...>hepatic and gastrointestinal duodenum arteries.<...>Superior anterior pancreas duodenum artery arises from the gastrointestinal tract duodenum arteries
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Solid pseudopapillary tumor of the pancreas is a rare, well-differentiated malignant neoplasm characterized by a relatively favorable clinical course. It most often occurs in women 20–30 years old. Solid pseudopapillary tumor of the pancreas has no specific clinical manifestations. Radiation diagnostics (ultrasound, CT, MRI) determines changes characteristic of this tumor, such as heterogeneity and hypovascularity, reflecting the solid and cystic components of the tumor. Anecdotal reports describe the extraorgan location of solid pseudopapillary tumors of the pancreas. The main treatment method is surgery. The extent of pancreatic resection depends on the location and size of the tumor. In case of malignant disease, chemotherapy and radiation therapy should be discussed
arteries, celiac trunk and mesenteric lymph nodes.<...>Tumor invasion into adjacent structures: wall duodenum intestines, stomach, spleen, mesenteric<...>The tumor was surrounded by branches of the superior mesenteric artery.<...>papilla duodenum intestines.<...>artery, aorta and right external iliac artery.
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No. 3 [Bulletin of Surgical Gastroenterology, 2009]
Scientific and practical medical journal. The magazine is intended for the general surgical community and specialists in related fields.
The rules for embolization of false aneurysms of the splenic and gastrointestinal tract are described in detail. duodenum arteries<...>1), in another 5 cases – gastrointestinal aneurysm duodenum arteries, as well as one observation<...>embolized in 4 cases, gastrointestinal duodenum artery also in 4.<...>� Risms of the artery of the head of the pancreas and the hepatic artery itself.<...>, 5 – gastric duodenum artery, 1 – cystic artery, 1 – left hepatic artery
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No. 1 [Annals of Surgical Hepatology, 2011]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
Surgeons need to know the condition of veins such as the gastrointestinal duodenum artery, SMV, and<...>(SBA), pancreatic, duodenal and gastrointestinal duodenum artery supplying the hepatic<...>in the absence of contact of the tumor with the SMA and gastrointestinal duodenum artery<...>through the lower pancreas duodenum and gastroduodenal artery.<...>� The test should be performed with gastrointestinal clamping� duodenum arteries.
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September 6, 2016 marks the 90th anniversary of the birth of Doctor of Medical Sciences, professor, famous surgeon - pioneer in the development of original methods and technical means of surgical treatment of diseases of the liver, biliary tract and duodenum, military transfusiologist Sergei Dmitrievich Popov
original methods and technical means of surgical treatment of diseases of the liver, biliary tract and duodenum <...>Popov defended his Ph.D. dissertation on the topic “The failure of the cult duodenum guts after<...>gastrointestinal ligations duodenum arteries" and was appointed senior resident and then junior<...>inventions on the diagnosis and surgical treatment of diseases of the liver, biliary tract and duodenum
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The first observation of a primary multiple tumor dates back to 1804 (K. Rokitanski), later data on multiple tumors were presented in 1847 by Regnault and in 1855 by Barth. The founder of the study of this pathology is rightfully considered to be T. Billroth, who in 1869 not only described a case of a primary multiple tumor, but also introduced criteria for primary multiple tumors. In Russia in 2011
A variant of the development of visceral arteries was identified in the form of a branch of the common hepatic artery from the superior mesenteric artery<...>arteries (see figure, e).<...>superior mesenteric artery.<...>In a typical location, the right gastric and gastric duodenum arteries.<...>The ileocolic artery is ligated at its origin from the superior mesenteric artery.
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The article analyzes the results of treatment of 51 patients with arrosive pancreatogenic bleeding against the background of false aneurysms of the vessels of the hepatopancreatoduodenal zone. In 18 cases produced various options distal pancreatic resections, splenectomy; 24 patients underwent pancreatoduodenal resections, extended in 2 cases to duodenopancreatectomy; 7 patients – duodeno-preserving option proximal resections pancreas. The basic mechanisms of the occurrence of false aneurysms have been studied. Individual volume determination surgical correction with radical removal of the pathological focus made it possible to guarantee surgical hemostasis in all cases, avoid relaparotomies and deaths
celiac trunk originate from the splenic artery in 50–65% of cases, gastroduodenal artery in 20<...>–25%, pancreas duodenum c – 10–15%, hepatic – in 5–10%, left gastric – in 2–5% of cases<...>(28), the most typical are extended destructions in the area of the posterior wall descending branch duodenum <...>and its branches, in 5 aneurysms originated from the lower pancreas duodenum arteries<...>Choledochodon a Roux-enhanced loop with resection of 2/3 of the stomach and part duodenum
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Benign tumors of the pancreas - limited surgical operations for cystic and neuroendocrine neoplasms - review of surgical interventions [Electronic resource] / Beger, Prokopchuk, Egorov // Annals of Surgical Hepatology. - 2015. - No. 2. - P. 74-90. - Access mode : https://site/efd/502237
Introduction. Benign tumors of the pancreas (PG) may include intraductal papillary mucinous tumors, mucinous cystic tumors, serous cystadenoma, solidopseudopapillary tumor and neuroendocrine tumors (NETs), most often insulinomas. The evolution of such organ-sparing interventions as enucleation, central resection (CR) of the pancreas and duodenum-preserving total or partial resection of the head of the pancreas (DSPRH) demonstrates their effectiveness in benign tumors of the pancreas. Purpose. To evaluate the possibilities of surgical treatment of benign tumors of the pancreas with local resection, based on existing indications for surgical treatment, analysis of early postoperative complications and long-term results. Results. Tumor enucleation is recommended for all manifest neuroendocrine neoplasms up to 3 cm in size in the absence of contact with the pancreatic duct. This method was used mainly for NETs and less often for cystic tumors. About 20% of enucleations are performed using a minimally invasive approach. Severe surgical postoperative complications requiring repeated interventions were noted in 11% of cases, pancreatic fistula - in 33% of cases, hospital mortality was less than 1%. The main advantages of enucleations are the low rate of postoperative complications and very low hospital mortality. Two thirds of CR were performed in patients with manifest cystic tumors and 1/3 in patients with NETs. A high incidence of pancreatic fistulas and severe postoperative complications is associated with treatment of the proximal pancreatic stump. An in-hospital mortality rate of 0.8% is an advantage of this procedure. In 50% of cases, DSGPH was used in the form of total resection of the head with segmental resection of the peripapillary zone of the duodenum and the intrapancreatic part of the common bile duct. 2/3 of these patients had manifest or asymptomatic cystic tumors and 10% had NETs. The main advantage of these operations compared with pancreaticoduodenectomy (PDR) is the preservation of exo- and endocrine functions to a greater extent and hospital mortality of less than 0.5%. The level of evidence for enucleations and CR is low due to the retrospective assessment of data and the lack of results from control studies. The benefits of DSRPH over PDR were demonstrated by 9 prospective controlled studies, 3 case-control studies, and 2 retrospective controlled studies. Conclusion. When using enucleations, CR, total and partial DSRPH, a low level of postoperative complications and very low hospital mortality are observed. The main advantage of limited resections is the preservation of the exo- and endocrine functions of the pancreas and peripancreatic tissues.
observations was used in the form of total resection of the head with segmental resection of the peripapillary zone duodenum <...>Resection of the head of the pancreas with preservation duodenum intestines For treatment benign formations <...>Technique of total DSRPH with cutting off the head of the pancreas from the duodenum, preserving the posterior pancreas duodenum <...>arcade formed by the branches of the gastrointestinal tract duodenum artery and lower pancreas duodenum <...>arteries, is described in detail.
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Creation of a reliable anastomosis after gastrectomy in both emergency and planned surgery peptic ulcer, remains one of current problems. Despite the improvement of operational techniques, the use modern technologies And various schemes pharmacotherapy, failure of the sutures of the gastroduodenal anastomosis remains quite high and reaches 0.3–5%, with mortality from peritonitis up to 70%. Due to known circumstances, recently intraoperatively the surgeon is faced not only with an ulcerative locus, but also with severe ulcerogenic complications, which greatly complicates the operation and creates conditions for the development of postoperative complications, including suture failure
arteries minimizes microcirculatory disorders of the proximal parts duodenum intestines, being<...>like in a wall duodenum the intestines are closely fused.<...>New technologies in the surgery of “difficult” ulcers duodenum intestines // Surgery. 2008. No. 8.<...>Basic principles of suturing the stomach and duodenum intestine // Wedge. hir. 1987. No. 8.<...>Peptic ulcer surgery and duodenum intestines: A guide for doctors.
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Purpose of the study: to demonstrate the feasibility of using transcatheter arterial embolization for upper bleeding. gastrointestinal tract. Materials and methods: the results of observation of 445 patients with acute gastrointestinal bleeding from the upper parts of the gastrointestinal tract from 2009 to 2014. Results: Changes in the surgical tactics of treating gastrointestinal tract infections led to a decrease in postoperative mortality from 22.9% in 2009-2011. up to 6.5% in 2012-2014 Conclusion: Transcatheter arterial embolization, due to its minimal invasiveness, absence of anesthesia, laparotomy, efficacy and safety, and repeatability, especially in multimorbid and elderly patients, has been shown to be effective in controlling bleeding and reducing mortality.
Bleeding into the lumen of the intrapancreatic cyst occurred in 3 patients and in 5 patients duodenum <...>Endoscopy revealed a bleeding ulcer on the posterior wall of the bulb. duodenum guts. Estimated by ForrestIA<...>Angiography, celiacography, selective gastrointestinal catheterization were performed. duodenum arteries<...>patients with active bleeding (Forrest IA-IIB) from a gastric ulcer and 10 patients with a bleeding ulcer duodenum <...>Superselective catheterization of the splenic artery, occlusion of the artery with Gianturco coils Surgical
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Modern resection surgery of the pancreas (PG) is characterized by high dynamics of development. Along with the increase in radicalism and expansion of the scope of operations during malignant tumors, there is also a desire to minimize surgical trauma. This is represented not only by changing the surgical approach from open to laparoscopic, but also by modifying the surgical techniques themselves. Back in 1980, German specialists H. Beger et al. for the treatment of chronic capitate pancreatitis, he proposed a method of isolated resection of the head of the pancreas, which allows preserving the integrity of the duodenum (duodenum).
pancreatitis proposed a technique for isolated resection of the head of the pancreas, allowing to preserve the integrity duodenum <...>Continuing dissection along the gastrointestinal duodenum artery downwards, its anterior branch is isolated.<...> distal section CBD and major papilla duodenum intestines.<...>The structures of the liver- duodenum Rice. 2.<...>arteries.
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No. 4 [Annals of Surgical Hepatology, 2011]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
(SMA) – lower pancreas duodenum arteries (Fig. 4).<...>Early ligation of the lower pancreas duodenum arteries (clamp applied).<...>Early ligation of the lower pancreas duodenum arteries via the anterior or mesenteric<...>In our practice we use anterior access to the lower pancreas. duodenum arteries, counting<...>We believe that early ligation of the lower pancreas duodenum arteries not only allows
Preview: Annals of Surgical Hepatology No. 4 2011.pdf (0.3 Mb)28
ON THE ISSUE OF EMBRYOGENESIS AND BLOOD SUPPLY TO THE STOMACH OF CATTLE ABSTRACT DIS. ... CANDIDATE OF BIOLOGICAL SCIENCES
OMSK STATE VETERINARY INSTITUTE
Study the following questions: 1. Use morphological studies to clarify the time of the formation of the multi-chamber stomach and the formation of its sections. 2. Find out whether there are turns during the development of the multi-chamber stomach of cattle and what their nature is. 3. To study the formation of the arterial system of the multichamber stomach in the prefetal, fetal and alimentary periods of animal development. 4. Study the possible types of branching of the celiac artery, as well as the arteries branching from it, systematize and try to explain the encountered branching options of these arteries in cattle.
artery; . 6 - mesh artery; 7 - left common gastric artery; 8 - left gastric artery; 9<...>from it arteries for the pancreas, special hepatic arteries, right gastric artery,<...>gallbladder artery, right gastroepiploic artery and cranial pancreas duodenum <...>arteries.<...>artery eleven.
Preview: ON THE ISSUE OF EMBRYOGENESIS AND BLOOD SUPPLY TO THE STOMACH OF CATTLE.pdf (0.0 Mb)29
No. 4 [Annals of Surgical Hepatology, 2018]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
OPA leaves the gastrointestinal tract duodenum artery and the left hepatic artery (LHA), from which it arises<...>; gastrointestinal tracts depart from the PPA duodenum artery, proper hepatic artery, arise from it<...>pancreas- duodenum artery (from it - PPA), gastroduodenal artery, artery of the IV segment<...>Arteries of the liver. 1 – celiac trunk, 2 – PPA, 3 – LVAD, 4 – PPA, 5 – gastrointestinal tract duodenum artery<...>Arteries of the liver. 1 – splenic artery, 2 – OPA, 3 – gastrointestinal duodenum artery, 4 – artery
Preview: Annals of Surgical Hepatology No. 4 2018.pdf (0.5 Mb)30
No. 6 [Bulletin of Surgery named after I.I. Grekov, 2018]
Founded in 1885. Covers issues of clinical surgery, talks about the latest research, developments and technologies.
When the ulcer is localized in duodenum intestinal hemostasis was achieved by embolization of the gastroduodenal artery<...>arteries: 1 – common hepatic artery; 2 – gastro- duodenum artery; 3 – occluded<...>branch of the gastrointestinal tract duodenum arteries; 4 – proper hepatic artery; 5 – catheter; b – after<...>segmental gastrointestinal embolization duodenum arteries: 1 – embolized section of the artery;<...>Performing TAE of the left gastric artery and its branches and gastrointestinal duodenum arteries using
Preview: Bulletin of Surgery named after I.I. Grekov No. 6 2018.pdf (0.9 Mb)31
COMPARATIVE AGE MORPHOLOGY OF THE INTESTINE AND ITS BLOOD SUPPLY IN DOMESTIC DUCKS AND CHICKENS ABSTRACT DIS. ... CANDIDATE OF VETERINARY SCIENCES
M.: ORENBURG STATE AGRICULTURAL UNIVERSITY
Purpose of the study. To study the age-related morphology of the small and large intestines in a comparative aspect and to establish the characteristics of their blood supply in Peking ducks of the Medeo cross breed and Loman white cross breed chickens.
Weight duodenum the intestines of one-day-old ducklings are 33.33% larger than those of chicks (Tables 3, 4).<...>supplies blood to the caudal part duodenum and the initial part of the jejunum.<...>arteries) arteries. 3.<...>aorta and participates in blood supply duodenum, jejunum, ileum, cecum and rectum.<...>duodenum intestine hepatic intestinal trunk and pancreas duodenum arteries (celiac)
Preview: COMPARATIVE AGE MORPHOLOGY OF THE INTESTINE AND ITS BLOOD SUPPLY IN DOMESTIC DUCKS AND CHICKENS.pdf (0.0 Mb)32
No. 3 [Annals of Surgical Hepatology, 2011]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
artery, 2 – gastric duodenum artery, 3 – right hepatic artery, 4 – common bile<...>Isolation of the superior mesenteric artery in the retropancreatic region. 1 - duodenum intestine,<...>– displaced left VA, 4 – splenic artery, 5 – common VA, 6 – gastrointestinal duodenum artery<...>and gastrointestinal duodenum donor artery and bifurcation of the recipient’s own VA.<...>artery, SA – splenic artery, IDA – gastrointestinal duodenum artery _10_072-078_Rummo
Preview: Annals of Surgical Hepatology No. 3 2011.pdf (0.3 Mb)33
No. 4 [Annals of Surgical Hepatology, 2012]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
In 5 (38.5%) - gastrointestinal duodenum arteries, 2 (15.4%) – gastrointestinal duodenum arcs<...>After gastrointestinal embolization duodenum artery cyst has festered, its drainage is under control<...>Embolization of the splenic artery was performed in 6 patients, gastrointestinal duodenum– 5, front<...>On the second day after surgery, bleeding from the gastrointestinal tract developed. duodenum arteries.<...>arteries.
Preview: Annals of Surgical Hepatology No. 4 2012.pdf (0.3 Mb)34
Target. To study the options for arterial blood supply to the liver according to angiography and systematize them for performing X-ray endovascular interventions Material and methods. Angiograms from 3,756 patients were analyzed. There are 5 types of blood supply depending on the “level of centralization” of hepatic blood flow. In each type, the options are divided into groups according to the number of arteries that separately supply the right (V–VIII segments) and left (I–IV segments) functional lobes of the liver (Rx/Lx). Results. 114 blood supply options were identified. The central (general hepatic) type was observed in 68% of patients; it included 6 groups: group 1 (50.8%) had 10 options for blood supply, group 2 (16.5%) - 5 options, group 3 ( 0.6%) – 7 options, 4th group (
duodenum, general hepatic, village!<...>hepatic artery; LPA – left hepatic artery; SrPA – middle hepatic artery; IDA – gastrointestinal<...>duodenum <...> <...>mobile and fixed parts of the proximal third duodenum intestines. Wow!wto!
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No. 12 [Doctor, 2007]
Scientific, practical and journalistic magazine for a wide range of specialists. Published since 1990. One of the most famous and prestigious publications for practicing doctors. Chief Editor journal - Academician of the Russian Academy of Medical Sciences I. N. Denisov. The editorial board of the journal includes recognized authorities in the world of medicine: N. A. Mukhin - Academician of the Russian Academy of Medical Sciences, director of the Clinic of Therapy and Occupational Diseases named after. E. M. Tareeva; V.P. Fisenko - corresponding member of the Russian Academy of Medical Sciences, (deputy editor-in-chief) and many others. By the decision of the Plenum of the Higher Attestation Commission “Doctor” was included in the list of journals in which it is recommended to publish the results of dissertation research for the competition scientific degree Doctor of Sciences Main sections: current topic; clinical review; lecture; problem; new in medicine; pharmacology; healthcare. The frequency of release is once a month. Target audience: attending physicians, chief doctors of hospitals and clinics, heads of medical institutions, heads of research institutes, medical centers, associations, heads of sanatoriums, pharmacies, libraries.
(MCA), anterior cerebral arteries (ACA), posterior cerebral arteries (PCA), vertebral arteries (VA) with<...>sites in the gastrointestinal region duodenum arteries (see Fig. 5, b) and SPA at the place of their division<...>Upon removal of the clamps, gastrointestinal pulsation duodenum artery, PA and shunt are distinct.<...>Stage of operation: a - aneurysmal sac; b - gastrointestinal: duodenum artery; c - SPA Fig. 6<...>Stage of the operation: an anastomosis was performed between the gastrointestinal tract: duodenum artery and SPA Fig. 7.
Preview: Doctor No. 12 2007.pdf (0.2 Mb)36
No. 2 [Annals of Surgical Hepatology, 2011]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
major papilla duodenum intestines intestines L.M.<...>artery; we perform an arteriotomy; insert a port catheter into the lumen of the artery in the direction of the hepatic<...>We fix the artery without entering the lumen of the hepatic artery.<...>arteries from it with a separate trunk, contrasting the volumetric formation of the pancreas.<...>pancreatic duodenal arteries into the gastroduodenal artery, then into the parenchymal
Preview: Annals of Surgical Hepatology No. 2 2011.pdf (0.3 Mb)37
No. 3 [Annals of Surgical Hepatology, 2017]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
grows into the wall of large arteries (celiac trunk or superior mesenteric artery) Table 2.<...>The general hepatic and gastrointestinal duodenum arteries, the latter is crossed and ligated.<...>intestine through the major papilla duodenum intestines.<...>Gastrointestinal duodenum the artery, spread out outside the conglomerate, is mobilized and ligated.<...>arteries and PVs (n = 1).
Preview: Annals of Surgical Hepatology No. 3 2017.pdf (0.2 Mb)38
No. 1 [Annals of Surgical Hepatology, 2010]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
mesenteric artery.<...>Gastric chemoembolization was performed duodenum artery feeding the tumor, suspension 1000<...>arteries; splenic and hepatic arteries without signs of tumor invasion.<...>Introduction of oil chemosuspension into the gastrointestinal tract duodenum artery feeding the tumor. _105-109<...>arteries; b – after embolization of the trunk of the splenic artery, extravasation is not detected, blood flow
Preview: Annals of Surgical Hepatology No. 1 2010.pdf (0.3 Mb)39
No. 4 [Annals of Surgical Hepatology, 2010]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
ligaments with ligation of “non-target” arteries, gastrointestinal catheterization duodenum arteries (IDA) and<...>artery in 66 patients.<...>If there are difficulties in guiding the catheter distal to the gastrointestinal tract, duodenum her arteries were occluded<...>hepatic arteries from the superior mesenteric, left gastric, ventricular duodenum and pregnant<...>One catheter was implanted into the gastric duodenum artery, the second - into the superior mesenteric vein
Preview: Annals of Surgical Hepatology No. 4 2010.pdf (0.3 Mb)40
No. 2 [Annals of Surgical Hepatology, 2009]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
high hepatic arteries or tumor-supplying arteries.<...>Gastrointestinal duodenum We ligate and cross the artery.<...>Be sure to ligate with preliminary intersection of the lower pancreas. duodenum artery<...>arteries anteriorly and to the left.<...>with areas of preserved epithelium – cyst in the wall duodenum intestines.
Preview: Annals of Surgical Hepatology No. 2 2009.pdf (0.3 Mb)41
No. 4 [Annals of Surgical Hepatology, 2017]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
hepatic duodenum ligaments and along the common hepatic artery.<...>The gastrointestinal tract was clipped and transected. duodenum artery and common hepatic duct, its diameter<...>lymph nodes along the proximal superior mesenteric artery and clipping of the inferior pancreatic duodenum <...>arteries.<...>It contains the lower pancreas duodenum artery, first jejunal artery and vein, lymphatic
Preview: Annals of Surgical Hepatology No. 4 2017.pdf (0.2 Mb)42
No. 2 [Annals of Surgical Hepatology, 2014]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
duodenum, general hepatic, village!<...>duodenum artery; LVGA – left gastric artery; SMA – superior mesenteric artery; * – supplies blood<...>mesenteric Mesenteric Aortic 2 arteries R1/L1 3 arteries 4 arteries 5 arteries 6 arteries R1<...>artery, 2 – lower anterior pancreas duodenum artery, 3 – dissected parenchyma of the head<...>duodenum ligaments: right in!
Preview: Annals of Surgical Hepatology No. 2 2014.pdf (0.5 Mb)43
No. 6 [Medical Imaging, 2018]
Aneurysms pulmonary artery. <...>and celiac trunk (CS) - up to 6 and 4%, respectively, in 3.5% of cases the gastrointestinal tract is affected duodenum <...>artery<...>hamartochondroma) in SIV right lung, postinflammatory pneumofibrosis of the apices of both lungs, peptic ulcer duodenum <...>Radiation diagnostics and endovasal treatment of gastrointestinal false aneurysm duodenum duodenum, proper, common hepatic artery and distal part of the celiac trunk<...>, in 1 – common hepatic artery, in 12 – splenic artery and in 1 – lower pancreas duodenum <...>arteries.
Preview: Medical Visualization No. 2 2009.pdf (0.4 Mb)45
No. 1 [Annals of Surgical Hepatology, 2019]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
A scientific and practical publication covering the latest technologies and equipment for obtaining and analyzing medical diagnostic images, methods of clinical use of the entire arsenal of radiation diagnostic methods; considering medical and technical problems.
arteries (RCA) – in 3 (15%), all three main coronary arteries (LAD, LCx and RCA) – in 1 (5%)<...>arteries (RCA) – in 3 (15%), all three main coronary arteries (LAD, LCx and RCA) – in 1 (5%) case<...>The features of MRCP for pathological changes complex of the major duodenal papilla and duodenum <...>upper floor of the abdominal cavity (abdominal aorta, liver, spleen, stomach, pancreas, duodenum <...>Distribution of colored silicone in the pancreas when the solution is introduced into the gastrointestinal tract duodenum
Preview: Medical Visualization No. 3 2014.pdf (0.7 Mb)47
No. 1 [Practical Oncology, 2009]
The journal covers the epidemiology, etiology, diagnosis, prevention and treatment of some of the most common tumors. The authors are progressive oncologist scientists who develop modern oncological science and have serious practical experience in the treatment of oncological diseases. Each issue of the journal covers a specific topic, on which specialized articles and lectures, clinical observations and literature reviews in the field of scientific and practical research in clinical and experimental oncology are published, as well as materials from original works containing the results of dissertations for the degree of doctor and candidate of medical sciences. sciences
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
RIC SSAA
The textbook contains a description of the features of the topography of the organs of the lymphatic system of animals and birds. Issues related to the characteristics of nerve branching are considered peripheral part nervous system, the course of blood vessels. Intended for teachers, full-time and part-time students of the Faculty of Biotechnology and Veterinary Medicine, studying in the specialty 36.05.01 “Veterinary Medicine”.
propria) Gastro- duodenum artery (a. gastroduodenalis) Splenic artery (a. lienalis<...>The celiac artery and its branches supply blood to the abdominal part of the esophagus, stomach, and cranial area duodenum <...>Collect lymph from the proventriculus and abomasum of the stomach, spleen, duodenum intestines.<...>And duodenum intestines, and flows into the celiac nodes.<...>Small intestine presented duodenum, jejunum, ileum.
Preview: Anatomy of animals and birds (angiology, lymphatic system, neurology, ornithology) textbook.pdf (0.4 Mb)50
No. 3 [Annals of Surgical Hepatology, 2015]
The magazine is intended for a wide range of surgeons and doctors of related specialties who, by the nature of their activities, are faced with surgical diseases of the liver, pancreas and bile ducts. The journal publishes custom generalized articles on current issues in surgical hepatology, written by leading specialists from the CIS countries and abroad, review articles, original works, individual “cases from practice,” as well as articles containing data from experimental studies. When selecting articles, the editorial board pays special attention to the unification of the presentation of the material and the methods of statistical data processing used, which are one of the necessary conditions for modern research. On the pages of the journal, discussions are held on the most unresolved issues of hepatobiliary surgery. During the discussions, many outstanding specialists from the CIS countries express their opinions. The editorial board considers the discussions interesting and useful and plans to continue this practice. The journal publishes reports and resolutions of conferences and abstracts of articles in foreign journals. A wide range of issues covered, depth and clarity of presentation of the material make the journal attractive both for specialists with experience in hepatobiliary surgery and for novice doctors
Antegrade balloon dilatation of the major papilla duodenum intestines with lithextraction in duodenum <...>The common hepatic duct was transected at the mouth of the cystic duct and the gastrointestinal duodenum artery<...>The right semicircle of the artery up to the first jejunal artery was identified paraadventitally.<...>The latter was exposed to the mouth of the lower pancreas duodenum artery, which was clipped and transferred<...>along the hepatic artery – HVPA (n = 9)).
Preview: Annals of Surgical Hepatology No. 3 2015.pdf (0.4 Mb)The intestine, about 30 cm long, resembles a horseshoe, open to the left (Fig. 136). It is located to the right of the vertebral bodies. The intestine is divided into four parts: upper horizontal, descending, lower horizontal and ascending. The first part of the intestine is located at the level of the 1st lumbar vertebra, the descending part descends to the 3rd vertebra, the ascending part rises up and to the left to the left edge of the 2nd lumbar vertebra. Here is the gut, moving into jejunum, forms a sharp bend (flexura duodenojejunalis). The duodenum is divided into two sections by the transversely located root of the mesentery of the transverse colon, belonging to the upper and lower floors of the abdominal cavity. Adjacent to the upper part of the intestine in front is the liver with the gall bladder, to the lower part there is the transverse colon and loops of the small intestine with the root of its mesentery, containing the upper mesenteric vessels. To the right of the duodenum is the hepatic inflection of the colon. On the left, the head of the pancreas is included in the bend of the intestine. Behind it are the gastroduodenal artery, the common bile duct, the inner part of the right kidney with its vessels and the inferior vena cava.
Rice. 136. Topography of the duodenum and pancreas.
1 - liver; 2 - stomach; 3 - pancreas: 4 - spleen; 5 - nonperitoneal fields - places of fixation of the colon and its mesentery; 6 - kidney; 7 - duodenum; 8 - a. mesenterica superior; 9 - a. pancreaticoduodenalis inferior; 10 - a. pancreaticoduodenalis superior; 11 - a. gastroduodenalis; 12 - a. coeliaca. A - duodenal nipple. 1 - ductus pancreaticus; 2 - papilla duodeni Vateri; 3 - ductus choledochus; 4 - lumen of the duodenum; 5 - pancreas.
The upper horizontal part of the duodenum is relatively mobile. On fluoroscopy, its initial part appears expanded and is defined as a bulb (bulbus duodeni). In the middle third, on the posterointernal wall of the descending part of the duodeni, there is an elevation on the mucosa called the papilla of Vater. The common bile duct and pancreatic duct open here.
The duodenum is an organ located retroperitoneally. However, only in front is it covered with peritoneum - within the left segment of the upper horizontal, descending and lower horizontal parts. The remaining parts of the intestine lie mesoperitoneally, as they are covered by a serous membrane on three sides. Due to the folds of the peritoneum, duodenal ligaments are formed. The hepatoduodenal ligament runs from the porta hepatis to the upper horizontal part of the intestine. In this ligament, the bile duct (ductus choledochus) passes on the right, the proper hepatic artery (a. hepatica propria) on the left, and the portal vein behind and between them. The ligament also contains lymphatic pathways and fibers of the sympathetic nervous system. Plicae duodenales superior et inferior are stretched from the posterior wall of the abdominal cavity to the flexura duodenojejunalis. The ligaments form pockets (recessus duodenojejunalis superior et inferior) of varying depths. They can be the site of internal abdominal hernias.
Blood supply to the duodenum is carried out through the superior and inferior pancreaticoduodenal arteries (aa. pancreaticoduodenal superior et inferior). The first vessel departs from the gastroduodenal artery and supplies the upper parts of the intestine; the second vessel is a branch of the superior mesenteric artery and approaches the lower parts of the intestine. The veins of the duodenum follow the course of the arteries. The lymphatic pathways of duodenum represent a single system with the pathways of lymph outflow from the pancreas. The innervation of the intestine is carried out by branches running along the blood vessels from the solar, superior mesenteric and hepatic plexuses.
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The pancreas is a delicate glandular formation located behind the stomach. Its projection is clearly shown in Fig. 4. It is located above the navel, which is taken into account during palpation. The tail part goes to the left hypochondrium to the upper pole of the kidney. The anterior surface of the gland is covered with a delicate layer of peritoneum and forms the posterior wall of the gastroepiploic bursa. The posterior surface faces the retroperitoneal space towards the spine. The upper and lower edges of the pancreas seem to be pointed.
Rice. 4. Projection of the pancreas on the anterior wall of the abdomen
Four parts of the pancreas should be distinguished: head, isthmus, body and tail (Fig. 5). On the posterior surface of the head, at the lower edge, the uncinate process (processus uncinotus s. pancreas Winslowi) extends downwards to the left and somewhat anteriorly. At the point where the process originates, a kind of notch is formed on the inside. Particularly important large ones pass through this notch. blood vessels. The tip of the uncinate process is woven into the connective tissue formations near the spine.
Rice. 5. Parts of the pancreas:
1 - head; 2 - isthmus; 3 - body; 4 - tail; 5 - uncinate process
The pancreas is located posteriorly in fatty tissue, but nevertheless it is not very mobile in the tissues. This immobility is primarily explained by the ligamentous apparatus extending from the uncinate process. This ligamentous apparatus, passing through the peripancreatic tissue, is attached to the fascial formations enveloping the aorta and its great vessels, duodenum, lesser omentum and other adjacent organs, which makes the pancreas, especially its head and body, immobile. IN AND. Kochiashvili called this ligament the proper ligament of the uncinate process (lig. processus uncinatium proprium). In pancreatic surgery, the intersection of this ligament is called the key to the operation during pancreaticoduodenectomy.
All produced external secretion is discharged into the lumen of the duodenum through the main duct (ductus pancreaticus Wirsungi). In 1779, Santorini described an additional, rather large pancreatic duct (ductus pancreaticus accessorius). The interesting thing is that the possible formation of stones in it is not taken into account.
The location of these ducts is shown in Fig. 6 and 7. The main duct passes closer to the posterior surface of the pancreas. In very rare cases, the duct can pass outside the gland and has, as it were, its own mesentery (Fig. 8).
Rice. 6. Layout of the main excretory ducts of the pancreas: 1 - lumen of the duodenum; 2 - main virsunt duct; 3 - additional channel of Santorini; 4 - small ducts (interlobar), flowing into the main ducts
Rice. 7. Location of the Wirsung duct in the pancreatic tissue: a - typical: 6 - atypical with the duct located along the upper edge of the pancreas; c - atypical with the duct located along the lower edge; 1 - head of the pancreas; 2 - Wirsung duct; 3 - isthmus; 4 - body; 5 - tail of the pancreas
Rice. 8. Location of the Wirsung duct in relation to the body of the pancreas:
a - normal; b - along the posterior surface of the gland; c - behind the gland and outside it
The duodenum is tightly fixed to the head of the pancreas, especially in the area of the greater and lesser duodenal nipples. The lower horizontal part of the duodenum has its own fascial sheath, located in the loose retroperitoneal tissue between the root of the mesentery and the posterior abdominal wall (V.I. Onupriev, S.E. Voskonyan, A.I. Artemyev, 2006). The scar cords that connect these formations have to be crossed when isolating the head of the pancreas. In the region of the head, the branches of the anterior and posterior pancreaticoduodenal arteries (superior and inferior) are quite pronounced and closely spaced from each other (Fig. 9).
Rice. 9. Blood supply to the head of the pancreas (diagram):
1 - duodenum; 2 - own artery of the liver; 3 - gastroduodenal artery; 4 - superior pancreaticoduodenal artery; 5 - anterior branches of the superior pancreaticoduodenal artery; 6 - head of the pancreas; 7 - anterior branches of the inferior pancreaticoduodenal artery; 8 - inferior pancreaticoduodenal artery; 9 - superior mesenteric artery; 10 - posterior branches inferior pancreaticoduodenal artery; 11 - posterior branches of the superior pancreaticoduodenal artery; 12 - superior pancreaticoduodenal artery; 13 - superior pancreatic artery; 14 - right gastroepiploic artery
The blood supply to the pancreas is complex and abundant. It is carried out from two arterial systems: celiac artery and superior mesenteric artery. Two trunks depart from the celiac artery: the common hepatic artery, which passes into the proper hepatic artery, and the splenic artery. The general diagram of the blood supply to the pancreas is shown in Fig. 10, 11 and 12. These two systems anastomose well with each other with large branches of arteries passing both inside the gland and along its surface. Ligation of these arteries practically does not lead to disruption of the blood supply.
Rice. 10. Diagram of blood supply to the pancreas:
1 - a. coelica; 2- a. lienals; 3 - a. pancreatica dorsatis; 4 - a. pancreatica magna; 5 - a.a. pancreatica candalis; 6 - a. pancreatica inferior; 7 - a. mesenterica superior, 8 - a. pancreaticoduodenalis inferior; 9 - a. pancreaticoduodenalis superior; 10 - a. pancreatica superior; 11 - a. gastricoepiploica dextra; 12 - a. gastroduodenalis; 13 - a. hepatica propria; 14 - a. gastric sin
Rice. 11. Variations of the splenic arteries and veins in relation to the upper edge of the pancreas (front view):
1 - arteries; 2 - veins; 3 - pancreas (body, tail)
Rice. 12. Arterial blood supply pancreas (general diagram):
1 - right, left and common hepatic ducts; 2 - bile cystic duct; 3 - hepatic artery; 4 - gastroduodenal artery; 5 - anterior pancreaticoduodenal artery; 6 - superior mesenteric vein and artery; 7 - splenic artery; 8 - aorta; 9 - liver; 10 - spleen
However, clear orientation in the topography of the blood supply plays a role important in pancreatic surgery. Damage to even one of them leads to difficult-to-control bleeding, especially when performing pancreaticoduodenectomy. The splenic and superior mesenteric arteries in angiography are considered as central in the blood supply of the gland.
However, their ligation is not unambiguous in terms of outcomes. The splenic artery can be ligated even at the mouth, and no significant circulatory disorder occurs either in the pancreas or in the spleen due to good collateral blood flow. This technique is often used to reduce portal pressure to prevent or treat bleeding from esophageal varices due to portal hypertension. A positive effect is observed in 30% of cases, but it is temporary.
Ligation of the superior mesenteric artery leads to necrosis of the small intestine due to lack of blood supply. These features of the blood supply are always taken into account when treating aneurysms of these two central arteries by embolization. Carrying out the latter without taking these features into account can lead to disaster (see below). Correct interpretation of angiograms of these arteries and their large branches determines the principle of surgical treatment. It justifies the possibility of using embolization techniques (selective, superselective or super-, superselective) or the impossibility of its implementation.
In addition to the above-mentioned tight fixation of the duodenum to the head, the ligament of the uncinate process of the pancreas has a less pronounced ligamentous apparatus (Fig. 13). An important role is played by the hepatoduodenal ligament, in which the vascular complex and extrahepatic bile ducts are closely adjacent to each other. A rough knowledge of these ligaments facilitates the performance of a number of surgical interventions on the stomach, spleen and, of course, on the pancreas.
Rice. 13. Ligamentous apparatus of the pancreas: 1 - stomach; 2 - gastropancreatic ligament; 3 - pancreasplenic ligament; 4 - spleen; 5 - mesentery of the pancreatic ligament; 6 - transverse colon; 7 - own ligament of the uncinate process; 8 - intimate fusion of the head of the pancreas with the duodenum; 9 - pyloropancreatic ligament; 10 - pancreas
Intersection of the own ligament of the uncinate process after isolating it from the adjacent v. portae, the superior mesenteric artery is not without reason called the most difficult stage operations on the pancreas, especially since the vascular elements of the ligament also pass behind the gland (Fig. 14). The gastropancreatic ligament starts from the cardia of the stomach and the lesser curvature. This ligament is quite powerful, contains the left gastric artery and the initial part of the common hepatic artery. The arterial celiac trunk is located slightly to the right of the gastropancreatic ligament.
Rice. 14. Relationship between the common bile duct and the vessels behind the pancreas: 1 - hilum of the spleen; 2 - splenic artery; 3 - splenic vein; 4 - duodenum; 5 - common bile duct; 6 - gallbladder; 7 - ampulla of the bile duct; 8 - Wirsung duct; 9 - pancreatic tissue; 10 - uncinate process of the head of the pancreas; eleven -portal vein; 12 - superior mesenteric artery
The pancreasplenic ligament attaches the tail of the gland to the spleen. The splenic artery and vein pass through this ligament. Their location varies, although they generally run along the upper edge of the pancreas. All arteries and veins anastomose well with each other. The pancreas is, as it were, located in an arteriovenous sponge. That is why, with minor damage to the pancreas (puncture, biopsy), bleeding almost always occurs, which is difficult to stop after pressing with a tuffer; sometimes it is necessary to apply sutures. If this property is well expressed in a normal gland, then in case of chronic inflammation, when cirrhosis of the gland progresses, its dissection is practically bloodless.
I.N. Grishin, V.N. Grits, S.N. Lagodich
The celiac trunk (lat. truncus coeliacus) is the most important artery that feeds all the organs of the abdominal cavity, or rather its upper floor. It arises from the aorta at the level of the twelfth thoracic vertebra in the area of the aortic opening of the diaphragm. This is a fairly short, about 2 cm, but rather thick artery. After its origin, the trunk divides into three branches at the upper edge of the pancreas.
The first branch is the left gastric artery (lat. a. gastrica sinistra). This vessel goes to the stomach, its lesser curvature, feeding it, and also gives off branches to the abdominal part of the esophagus.
Next, the celiac trunk becomes the source of another - the common hepatic artery (lat. a. hepatica communis). She goes to duodenum, where, after the release of the gastroduodenal artery (lat. a. gastroduodenalis), it continues its course in the form of its own hepatic artery (lat. a. hepatica propria) and reaches the gate of the liver. This artery lies in the hepatoduodenal ligament, where its neighbors are the portal vein and, of course, the common bile duct. At the gate it is divided into two branches, corresponding to the lobes of the liver: right and left. From the right branch originates the cystic artery (lat. a. cystica), which goes to the gallbladder. In addition, the right gastric artery (lat. a. gastrica dextra) begins from the common or proper artery of the liver, which goes to the stomach, or rather its lesser curvature, connecting there with the vessel of the same name on the left side. The previously mentioned gastroduodenal artery gives rise to two branches: the superior pancreatoduodenal (lat. a. pancreatoduodenalis superior) and the right gastroepiploic artery (lat. a. gastroepiploica dextra). The first of them goes to the stomach, its greater curvature, and gives branches to it and the omentum. The second most often represents a group of stems that branch in the pancreas and, in addition, in the duodenum.
And finally, the third branch is the splenic artery (lat. a. lienalis). It goes to the spleen, giving small branches along the way to the pancreas. Approaching the gate of the spleen, it divides into 5-8 small arteries, which branch in the organ. Before division, the left gastroepiploic artery (lat. a. gastroepiploica sinistra) is separated from it, which anastomoses on the greater curvature with the vessel of the same name on the right side. In addition, short gastric arteries (Latin aa. gastricae breves) go to the stomach from the splenic artery.
The celiac trunk, thanks to the numerous anastomoses of its branches, provides adequate and complete blood supply to the organs of the upper floor. Unfortunately, this important vessel is not immune to problems. One of them is stenosis. The celiac trunk, despite its thickness, under the influence of certain factors can narrow the lumen, which causes health problems. The narrowing can occur as a result of the deposition of atherosclerotic plaques on the inner wall of the trunk. This pathology is manifested by vague abdominal pain, bloating and other characteristic phenomena. Diagnosed using angiography. Not only this can cause stenosis of the celiac trunk. There is a disease called Dunbar syndrome. Because of congenital anomaly One of the ligaments of the diaphragm compresses this important branch of the aorta. Angiography shows stenosis at the site of compression and expansion immediately after it. The celiac trunk, having become a victim of this anomaly, gives the following clinical picture. Patients note aching abdominal pain, nausea, flatulence and vomiting, and sometimes diarrhea occurs. In addition, symptoms inherent in acute pancreatitis are possible: sharp pain, vomiting, fever.
Stenosis of this artery is very dangerous because it feeds important organs: liver, spleen, stomach, etc. Lack of blood supply can cause serious and irreversible consequences, even fatal outcome. Therefore, every person should pay full attention to unexplained abdominal pain.
